11111'll l„Ill'lll Ill'llillil Il illi - Bureau of Land Management

NOTICE!!

These documents have been scanned!

Do not place un-scanned documents beneath this notice!

Do not remove this notice from this file!

GPO Jacket No. 560-102Print Order 61540

Rise Business Services, LLCJob=AZ15 5/16/2019

I I li El~ Ell li~I I ~I li I ~~ Illi i il li ill liliBox Number= AZ15055

lillill'lll'll ill'llillillillillillill 111111111111'llill'lll'llilillillillilill'lll'llilli Illillill'lllClaim Begin-End: AMC411296-AMC411299

1 Initial Receipt

11111'll l„Ill'lll Ill'llillil Il illi AZ15055-14 AMC410569-AMC411560

United States Department of the InteriorReceiptBureau of Land Management

LANDS/RECREATION & PLANNINGONE N CENTRAL AVE

PHOENIX, AZ 85004 -2203 No: 2448305Phone: 602-417-9200

Trans:iction #: 2524196 ENTERED INTO COMPUTERDate of Transaction: 10/28/2011CUSTOMER: NOV 08 2011

DONALD NELSONllC 39 BOX 905GOLDEN VALLEY.AZ 86413 US

LINE 17-UNIT~-# QTY DESCRIPTION IREMARKSII IrrOTALIH PRICE H ILOCATABLE MINERALS / MINING CLAIMS-NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW

1 11 4.00 1 MINING CLAIM PROCESSING FEE $15 n/a - 60.00CASES: AMC411296/$15.00, AMC411297/$15.00,

LOCATABLE MINERALS / MINING CLAIMS-NEW,UNADJUD, ONE OR MORE AUTH NOS / NEW

2 11 4.00 1 MINING CLAIM LOCATION FEE $34 - n/a - 136.0()CASES: AMC411296/$34.00, AMC411297/$34.00,

LOCATABLE MINERALS / MINING CLAIMS-NEW,UNADJUD, ONE OR MORE AUTH NOS /NEW

3 11 4.00 1 MINING CLAIM MAINT FEE $140 - n/a - 560.00CASES: AMC411296/$140.00, AMC411297/$140.00,

PAYMENT INFORMATION1 AMOUIV.r:[~~--------~ ~OSTMARKE~.~

NAME: NELSON, DONALDHC 39 BOX 905GOLDEN VALLEY AZ 86413 US

REMARKSTEMP RECEIPT-170678

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion oftheofficial electronic record contained therein.

NOTICE!!




GPO jacket No. 560-102Print Order 61540


Iiiijiiijii IiIIIIIIIII IiIII IIIII Iijii Im I"IBox Number= AZ15055

1111111111'illili'111111111111111 111 11111111111111111111111111 lill"11111111 111 11111111111Claim Begin-End: AMC411296-AMC411299

2 Correspondence

Illl'llill'lilll'llililillill Ililli AZ15055-14 AMC410569-AMC411560

NO

DOCUMENTS

FOUND

NO DOCUMENTS FOUND

NO DOCUMENTS FOUND

NOTICE!!






Box Number= AZ15055

I lillill ililli llil ill' lilil lilli llill 1111 111111'l ll'llil lillil ll'l lill Illi ll'll 'llil lili llili lll' llilClaim Begin-End: AMC411296-AMC411299

3 Transfers

1 illilli Ill'll lili lilli 'llill Illili AZ15055-14 AMC410569-AMC411560

NO

DOCUMENTS

FOUND

NO DOCUMENTS FOUND

NO DOCUMENTS FOUND

NOTICE! !






I Ill il~ ill lilli lli li I ~~ lill I I ~Il IMI IlliBox Number= AZ15055

l illi 111111 11111'Il lill 1111 111111111 111 1111111 lin Ill'll 111111111 ill 11111111111111 111 lili l liClaim Begin-End: AMC411296-AMC411299

4 Miscellaneous

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6500434427 j j~ 6 j, : i, /1 j j: ~ , //1 , , i j,E /1 j i ,/, t;1 ; /„ j~ j jit , //~ ,/"U/,-tillil

~WEPARTMENT OF THE INTERI~BUREAU OF LAND MANAGEM#99

MINING CLAIMSMC Customer Information - With Serial No. and Claim Name

ACTIVE, CLOSED CLAIMSRun Date: 11/22/2011 07:09 AM Page 1 of 1

Admin State: AZGeo State: AZ

NELSON DONALD L CUSTOMER ID: 21332279049 W OATMAN RDGOLDEN VALLEY, AZ 86

Serial No. Claim Name/Number Lead Serial No. Disposition

AMC411296 WEST FIRE AGATE AMC411296 ACTIVEAMC411297 FAR WEST FIRE AGATE AMC411296 ACTIVEAMC411298 FIRE AGATE AMC411296 ACTIVEAMC411299 EAST FIRE AGATE AMC411296 ACTIVE

Number of ACTIVE cases: 4

AMC356692 FAR WEST FIRE AGATE AMC356692 CLOSEDAMC356693 WEST FIRE AGATE AMC356692 CLOSEDAMC356694 FIRE AGATE AMC356692 CLOSEDAMC356695 EAST FIRE AGATE AMC356692 CLOSEDAMC356696 SE-12 AMC356692 CLOSED

Number of CLOSED cases: 5

NELSON DONALD L CUSTOMER ID: 52574BOX 216ARIVACA, AZ 85601


AMC301489 FIRE AGATE AMC301489 CLOSEDAMC301490 EAST AGATE AMC301489 CLOSEDAMC301491 WEST AGATE AMC301489 CLOSEDAMC301492 FAR WEST AMC301489 CLOSEDAMC321970 SE 12 AMC321970 CLOSEDNumber of CLOSED cases: 5

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATAFOR PURPOSES NOT INTENDED BY BLM.

-~REAU OF LAND MANAG~MINING CLAIMS

MC Customer InformationRun Date: 11/22/2011 07:09 AM Page: 1

Total Rows Returned: 14

AZ Limiting Criteria:System Id = MC

Admin State = AZ

Geo State

Case Disp Txt

Geost County Cd

Admst Dist FO Cd

Cust Nm begins with NELSON DONALD L

District Txt =

FO Txt

County Txt =

Adm Agency =

Adm Agency Txt

Mer Twp Rng

Mtrs

NO WARRANTY IS MADE BY BLMFOR USE OF THE DATA FOR

PURPOSES NOT INTENDED BY BLM

. IList of Pro rietors

NELSON DONALD L[2133227], 9049 W OATMAN RD,, GOLDEN VALLEY, AZ, 864137648, P, MATCHED

ENTERED INTO COMPUTERNOV 22 2011 <B

Stv\E L-1 \1 21 41

List of Pro rietorsConse l<+Ile-

~ NELSON DONALD L[52574], BOX 216,, ARIVACA, AZ, 85601, P,

14.1 .NELSON DONALD L[2133227], 9049 W OATMAN RD,, GOLDEN VALLEY, AZ, 864137648, P, MATCHED

NOV 22 2011

%

p IBrown, Pauline

From: Selbach, Rick ESent: Tuesday, November 22, 2011 7:42 AMTo: Brown, PaulineSubject: RE: Address to be Consolidated

DONE!!!,Rick E. Selbach

7. BLF 1 - Arizona State Office~ Data ·klministrator11

14 ,4 602417-9336 :Volk4 rselbach©blni.gov

One IJ. Cential Ave,=800Phoenix, A: 350044427

From: Brown, PaulineSent: Tuesday, November 22, 2011 7:23 AMTo: Selbach, Rick ESubject: Address to be Consolidated

Good Morning Rick,I left a message on your VM this AM, I need for you to consolidate an address for me; it is for NELSON DONALDL; there is currently 2 addresses for him in LR2000; both can be consolidated {the PO Box 216 and the one thatbegins with 9049} together. Please keep the one that reads 9049 W OATMAN RD...

Thanks again and have a nice day,Pauline B.

1

1- - 9 112-9 6Customer Name Update Screen

System ID:MCName: NELSON DONALD L -mill-

Proprietor #: 2133227 Renumber To:Category: P - PRIVATE A-to<r LS s LA f~dedAddress: 9049 W OATMAN RD ENTERED INTO COMPUTER

City: GOLDEN VALLEY NOV 08 2011 t8State: AZ

Zip: 864137648

-=- r:rd:===S' ESaY-e/6*rride-Datafiux

Customer details successfully saved for Customer Id 2133227

Customer Name Update Screen

System ID:MCName: NELSON DONALD L f~ 1:It]Xi Ill

Proprietor #: 2133227 Renumber To:Category: P - PRIVATE

Address: HC 39 BOX 905 ~r- ~re-V'luLAS rery

City: GOLDEN VALLEY

State: AZZip: 864138381

E---Save/6vernde DEFiux

...I~~I:/lin"IM~HI

~~-ARTMENT OF THE INTERIOR 1IUREAU OF LAND MANAGEMEN~~

MINING CLAIMSMC Customer Information - With Serial No. and Claim Name

CLOSED CLAIMSRun Date: 11/08/2011 07:21 AM Page 1 of

Admin State: AZGeo State: AZ vt ~ %5BC~-

NELSON DONALD I.,~ M ~~~~~~~~~~;; 1" CUSTOMER ID: 52574BOX 216ARIVACA, AZ 85601


AMC301489 FIRE AGATE AMC301489 CLOSEDAMC301490 EAST AGATE AMC301489 CLOSEDAMC301491 WEST AGATE AMC301489 CLOSEDAMC301492 FAR WEST AMC301489 CLOSEDAMC321970 SE 12 AMC321970 CLOSED

Number of CLOSED cases: 5

0 ---- -NELSON DONALD L fl +Er, . \ At>,ru,\,A rfS VJAV

HC-39 BOX 905 n * C c. 0**r-: r CUSTOMER ID: 2133227

GOLDEN VALLEY, AZ 86 >r~ ~~u r~'~,'r'»wk~ 10 U

fv gr"Serial No. Claim Name/Number Lead Serial No. Disposition

AMC356692 FAR WEST FIRE AGATE AMC356692 CLOSEDAMC356693 WEST FIRE AGATE AMC356692 CLOSEDAMC356694 FIRE AGATE AMC356692 CLOSEDAMC356695 EAST FIRE AGATE AMC356692 CLOSEDAMC356696 SE-12 AMC356692 CLOSEDNumber of CLOSED cases: 5

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATAFOR PURPOSES NOT INTENDED BY BLM.

- L ,

List of Pro rietors6 .NELSON DONALD L[52574], BOX 216,, ARIVACA, AZ, 85601, P,

FAr- NELSON DONALD L[2133227], HC 39 BOX 905,, GOLDEN VALLEY, AZ, 864138381, P, MATCHED

L

Advertisement:ING _DIRECT: No fees. No mininiu_rns. No_changing_banks

2:- d.34£ KE' Ve.U ADonald Nelsonhome

NOV 0 8 2011 e 61:oem-

9049 W Oatman Rd ~, h) LISO.*2 I4i ~\ 3-4.~ 60 4 B'+2.-

Golden Valley, AZ 86413-7648(928) 565-4145 fl+12£/tht) 1*4- ct/41£) LYAA+e .

qnAssociated: Don L Nelson

gr EE

mChinle Dr

Listing date: Jun. 2011

2-yrcontract. *~Illi

Smartphon e Sale!2-4, ogreem't on uoice plon & min. $15/mo. LIRUJ or ~S'325/1,10. iCRUl dot.co Pictn reird. Add'I restr. opply.

NOTICE!!






Box Number= AZ15055

l illilli llilli llil lill 'llil lilli ll'l lilli 1111111111'llil lillil illi llil lilli lilli lll I 11111111111111Claim Begin-End: AMC411296-AMC411299

5 Annual Filings

I'llillilll'lllililillilll'll 111'll AZ15055-14 AMC410569-AMC411560

F--»»UNITED STATES '

Fom, 3830-2 DEPARTMENT OF THE INTERIOR A\»c H \ \ 25 6(Janumy 2017) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION OMB NO. 1004-0114Expires: January 31,2020

SEE INSTRUCTIONS ON PAGE 2

1. This small mincr waiver is filcd for tlic asscssmont ycar beginning on Scptcmbcrl, ') f) / 8 and cnding on September 1.io,2. The undersigned and all related parties owned kn or fcwer mining claims, mill, or tunnel siks located and maintained on Federal londs in the United States

ofAmerica on September 1, @0 / ~3. The undersigned have performed the assessinent work required by law for cach mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an amdavit of assessment work with the Bureau of Land Management (BLM) by the December 30111 following the filing o f this wmver4. i he undersigned understand that if thc assessmcnt work obligation has noi yet come due undcr 30 U.S.C. 28 (for those claims in thcir first assessment ycar only),

n notice of' intent to hold rcciting this condition must bc recorded by the December 30th following ihc filing of this waiver5. The undersigned understand that mill mid tunnel sites may also be listed on this waiver and be waived from payment oftlic maintenance fbe, and that a notice o f

intent to hold for ilicsc sites is required to bc filed with Oic BLM by tlic December 30th following tlic filing of this waiver6. The undcr~igncd understand md acknowledge thal pursuant to 43 U.S.C. 1212 and 18 U S.C. 1001, the filing or recording of a false, fictitious, or fraudulent

document with the BLM may result in o fine of up to $250,000, a prison term not to exceed five years, or both.7. 1-he mining claims, mill or tunnel sitcs for which :his waiver from payment ofthc mainknance fccs is requested arc

CLAIM OR SITE NAME BLM RECORDAHON SERIAL NUMBER

1 7G A 7-C.

4. fi A 5*t i r k A € AT e_5. I -'7

6. Frl r.,

!11 AG

3

-:7

8.

9 7

10. 0 -7

1> cri nThe ownes(s) (claimants) of the nbove mining clstims and sites arc: -

«bt* AW NELCON~ ((?wncr s Name - Please Print) (Owner's Signature)

9649 CAT MA W Hw j Go U tu Ddey flz_ _ 7\ L.7 / i0/1-11 -1

- 41__L-(Owner's Mgiling Address) 8.L-lts-~ (City) (State) (Zip Code)

-------------------- ENTERED SEP 0-5 2&8-

(Owner-s Name - Please Print) Owner'5-5ignature)

(Owner's Ma hnE Address) (City) (Slate) (Zip Code)

(Owners Name - Please 0 (Owner's Signature)

(0 - s Mailing Address) City) (State) (Zip Code)

(Owners Name - Please Print) (Owner's Signature) ~

(Owner's Mailing Address) (Cily j (State) (Zip Code)(Continued on pagc 2)

When Recorded Returo Document to: lili MR!21'?~~Yi Al!"RJA:19"rflt 111FEE# 2018038899

-_1ZZE-QLE--E,_dll/2.,1.117.' OFFICIAL RECORDS ffs-.9 X*OF MOHAVE COUNTY (5~~ Jij- KRISTI BLAIR, \11,4//fepmews'3 Check here is this is a change of address. IY \-/*COUNTY RECORDER V \ ..4* B.

Telephone: 08/06/2018 01:20 PM Fee: $15.00E-mail address: PAGE: 1 of 2- m'1d.11l10-96

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK

If\ 1 E L V '2- (D1.Stateof Arizona, County of ss: BLM rn2.1 (Name) _Il-,4.,1.*24',+1.1.E_L.f,Th, Date

?6111 AUG 13 P

Stamp :< ,)>-23. Reside at (Address) -1 Y 7 j L, :4/ /,·0 .1, j,4 ,-

- 0Z I.City £*:Ale-/,*2&'/etL County _/<ID,'~_A..E.2-

state F -2zip f A. 9 / 3 being duly sworn , depose and say that I am a citizen of the United States , more thaneighteen years 6f age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner's name and address (If not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s).Said contiguous group of claims, listed on this document, are situated in the

-3.,L/J -,/6-- A A'C·05%/(optional) Mining District; /44/ A A V€- County, Arizona,

AMC COUNTY RECORDERLine CLAIM/SITE NAME TWP RNG SECNUMBER DATA (If available)No.

.,

Form: MCF108Revised July 2014

JNTERE~ Page 1 of 2

~ AUG 2 3 20;0 i~BY:_~L--

. I

AFFIDAVIT OF PERFORMANC~ ~ ANNUAL WORK - page 2

-U1818 AlBLM (.-D

Date - _ 4.-- 4 7.7hf r 1Stamp : m

=To -0 33

e e

9

10

6. That between the dates starting at 12 o'clock noon on September 1,20 f 7 and ending at 12 o'clock noon onSeptember 1,20 i R at least $ --UL-FLE____dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein: 1>6 NA ~d, .1.

8. That the work and improvements performed were: ti.9$1:J_E_f_).12-12(-171,-i,4--~.,ffL_..iNg

,1, fr 3 6 F q (1 E e A G ~»,:. v. 4 ,~ Aj i.1~ v ti/. L' ,~~ .-U

--

9. Dated:_2Z__Z_/' Signature: £1~UIE1,s~~0*-2.2~,J ,-f~--1

SUBSCRIBED AND SWORN TO before me, a Notary Public, this - day of Aug %54 20 / Y./

Notary Public ,~~/St___~H:f:1~6~

My Commission Expires 1,1 - 2 4 -1 9.2 1,

,,

No. of Claims: X $10 = «St, (-'C'-.Bureau of Land Management Check No.: =456 -1 Init. _5.

Arizona State Office -www. blm.gov/az Receipt No.: -5(2.34 995

For BLM Use Only

:1

Alexander Blanco Form: MCF108Notary Public Revised July 2014

3 4 Mohave County, Arizona Page 2 of 2~Kkas;5/ My Comm. Expires 11-24-2021

This form is available from the Arizona Geological Survey and may be reproduced.

D 0-»4< 747u 1.AS VEGAS flb' 65*3 ~;,---„,~~3'""=·- ~1909////3//Ii-w

90 4 9 69 6~~/>V 'blw)/. 99 wJJ /FR *-*1 4 L tsz*22:*1*:#Els:ri

.. 4 9« (9. . ' U I " t Ir·'.BLM ,~Ef-FlffR ... „ vioPREVER -

F (-4/3 2018 AUG 13 P 2: 40.~ b * 74~ 3-~:lsjfl, \ZI..-PHOE~)*pfZONAO

0'1 »' c«r*fj.1- - F~ ,1 14 CMTI31 Cu>e-I.-00 f[- 1 -8 -2-. C Anct - 44 ')-1

85004...442-2 004 i Iii,i:i/)61111 iii? 44*44***MAiii

Receipt' Page 1 of 1

United States Department of the InteriorBureau of Land Management Receipt

DIV OF LANDS, MINRLS & ENERGYONE N CENTRAL AVE


Transaction #: 4350348Date of Transaction: 08/14/2018

CUSTOMER:DONALD L NELSON9049 W OATMAN RDGOLDEN VALLEY.AZ 86413-7648 US

1- #-11081 DESCR[PTION 1 REMARKS 11 HTOTAL;

|NOT NEW-UNADJUD.ONE AUTH NO. |2018 POL & 111 1 111.00 11 11 -n/a- 11 40.00MONLY / MINING CLAIM MONEY RECEIVED 112019 WAIV (4) 11

-TOTALI]E--340.00

PAYMENT INFORMATION

-TYPE:IffiEEKIZECERED:08/14/2618

NAME: NELSON. DONALD L9049 W OATMAN HWYGOLDEN VALLEY AZ 86413-7648 lJS

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation ola portionof the official electronic record contained therein.

htlps://ilmocop()ap933.blm.doi.net/cgibin/cbsp/zorder 8/14/2018

/17*1 c 4//J-96

1·oim 3830-2 DEPARTMENT OF Till:, INTERIMChmuary 2017) BUREA U OF LANI) MANAGEMEN'l' z~'~~~~~ OMB NO. 1 ()()4-() 114MAINTENANCE FEE WAIVER CERTIFICATION

FORM APPROVEI)

Expires:January 31.202()SEE INSTRUCTIONS ON PAGE 2

L This small miner waiver is liled 12,r the assessment year begimfiig on September I. ~C / / and emling on Septe mber I. .skE_,EL2. '1'he,Indersigned and all related pal·tics owlied [en or fewer milimg claims , mill, or trimiel sites located and inaintained oli I·ederal lizinds in the l Inited States

1,1 America on September l , 10 1 71 The undersigned liave pei·formed the assessment work required hy law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an at'lidavit oi'assessment work with the Bureau 0 1 1.and Management (131.M ) by the December 30111 li) 11 owing tllc filing (,1 thi.s \\,1 i,er.4. The undersigned understandthat ifthe assessment work obligation hils not yet Come dile mider 3() 11.9 ('. 28 (li)1· those claims in their first assessment yearonly),

a milice ofintent to hold reciting this condition must be recorded by the December 30111 12,1lowing the filing 01'this waiver.5. '['lie undersigned understand that liiill and tunnel sites may alsi, be listed on this waiver alid he naivud i'rcini p.,0 ment 01'the liiailitcnmice lee, and that a lic,tice 01

intent to hold l'or these sites is required to be filed with the 131.M by the December 3()th Rillowing the filing ofthis waiver.6. The undersigned understand and acknowledge tliat pursitant 10 43 l J.S.C'. 1212 and 18 11 S.('. IC)(11. the liling or recordilig 01,1 liilse. lictitic),ls, or |'rillidulent

document with the BLM may result in a line ofup to $25().00(}. a prison term not to exceed five years. or both.7. The mining claims, mill or tunnel sites ibr which this waiver from payment ofthe maintenance fees is requested are:

('I.AIM OR MITI. NAMI: 111.M RECORDATION SERIALNUMBER

Lit 1 176414 1 -

A /3 09 -1. e_ VII 9-99

F,-r* A ·· Al f el5.

6.

8.9.

10.

The c m iter(s)(claimants) oftlic above mining claims und sites M e

- 0.*Id L -(()wner-s Name - Please [ ,rp'/46 (()wner's Signature)

04 ORt B n ; t . i ) / 1 9/1/10(Owner's Mailing Address) (City) / (Stale) (Zip Code)

(Owner's Name - Please Print) (Owlier's Signature)

K -

(()wner s *Ini·lil!~~ddress) (City) 3 (%21) r-(Zip Code)

(()wner's Name - Please Print) (Owner s Si, lure) N 4"03

(()Kner's Mailing Address) (City) A 9~2) codup cocle)--------

(Owner's Name - Please Print) (OH s Signature)

(()wner's Mailing Address) ((lity) (St:ite) (Zip Code)( Conhnued on page 2 ) ~ »t-s-~--~~u--~U~

.tr,BY: -/ -

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41

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~-4 1When Recorded Return Document to: IlliR~1'DIEI~k'BlkSMII 111 »£f,54#26-A) 4/ EL 3 0 k)

O 4 6 w FEE# 2017038400 »776 9Iia960/. ew ie

0 f ., , 1 OFFICIAL RECORDS F~.~~~:- OF MOHAVE COUNTY <al-*66 . )6)

KRISTI BLAIR, lir.Mil~ilO Check here is this is a change of address. COUNTY RECORDER F-..'.1/Telephone:

-*--#-*I-Il--il----I- 08/11/2017 01:15 PM Fee: $15.00E-mail address:

PAGE: 1 of 2


1. State of Arizona, County of OAK Ve ss: BLMDate ; rn .- 3-2.1 (Name) * 1 E L 5 0 u stamp '573. Reside at (Address) 0 4

ECEIVErr;4 CE)c,fy Go j qF e County M .efl_t-EL. c 4 -74 - 0

State R 2Zip 1 6, 4 13 being duly sworn, depose and say that I am a citizen of t*e United States, more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner's name and address (If not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the5112__F_flt-MS_(Su (optional) Mining District; ~tl_Q-~_A.¥E County, Arizona.

AMC COUNTY RECORDERLine CLAIM/SITE NAME TV\/P RNG SECNo. NUMBER DATA (If available)

1 411 fl 9 6 e€-t A rte- B K ) 651 fg 51 19 N

5

6

Form: MCF108

ENTERE Revised July 2014Page 1 of 2

AUG 25 2017

BY:-~1__

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2 -

EM

BLMDate C

11StampPHOENG(. ARIZ

-4

%,

8

9

10

6. That between the dates starting at 12 o'clock noon on September 1,20 1 6 and ending at 12 o'clock noon onSeptember 1,20:17 at least $ _l-Ze_Q_Ak_dollars worth of work and improvements were done and performedupon said clairnts) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7. That the following- persons were employed to perform the work and improvements described herein: Do

I Lf,W Did In w + J ,4 4 c of hoe,5 6 f N A N J w 01-1<

8 . That the work and improvements performed were : , e 1 0 e , 10 , */1 8 Hole- AN

Re *A ov iN ov € 2- Aw r e B H Rd .

9. Dated:~//4-7 Signature: '

SUBSCRIBED AND SWORN TObefore me, a Notary Public, this 1 C day of '~1\) 6~)54- 20 \7

BY: ID~aSOrz~ ~5*28x Elyma Rae Anderson

Notary Public 6 /%026UU Mohave County, Arizona

My Commission Expires - 08>/8/26\ S \,:, My Comm. Expires 08-18-18

No . ofClaims: X $ 10 = j

Bureau of Land Management Check No.: Y/ .3 Init. --Arizona State Office- Receipt NO .: fO A

For BLM Use Only


Page 2 of 2


Receipt Page 1 of 1....





CUSTOMER:DONALD NELSONHC 39 BOX 905GOLDEN VALLEY.AZ 86413 US

1----11--ERi-f-1-1 # 11QTY' DESCRIPTION 1 REMARKS 11 lITOTALI~~ PRICE ~

1|NOT NEW-UNADJUD,ONE AUTH NO. ONLY / ~IPOL 2017/4 111 1 Ill.OOII 4 -n/a- 1 40.0011 1IMINING CLAIM MONEY RECEIVED PWAV

1--------------------~TOTAL:-§40.00

PAYMENT INFORMATION1 1---AMOUNT: 146.061POSTMARKED: 168/18/2017

-TYPE:[CHECK-RECEIVED: 168/22/2017-CHECKNO: 121-93

NAME: NELSON, DONALD LHC 39 BOX 905GOLDEN VALLEY AZ 86413 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portionof the official electronic record contained therein.

https://ilmocopOap93 3.blm.doi.net/cgibin/cbsp/zorder 8/22/2017

UNITED STA'IESForm 3830-2 DEPARTMENT OF THE IN rERIOR 1373 1((k ti,lier 20 13) BUREAU OF LAND MANAGEMENT L----4 FORM APPROVE[)

MAINTENANCE FEE WAIVER CERTIFICATION OMBNO. 1004-0114Expires: October 31.2016

SEE INSTRUCTIONS ON PAGE 2 41 / 294,1. This small miner waiver is filed forthe assessment year beginning on September 1, l/#U and ending on September 1,20 1071 The undersigned mid all related parties outied ten or fener mining claims . mill. or tunnel sites located and maintained on Federal lands in tile lJnited States

of America oli September 1, 20/(p3. The undersigned have performed the assessment work required h> lan for each mining claim listed prior to filing this waiver and understand that bv filing this form.

the undersigned must file an allidavit ofassessnient nork uith the Bureau ol'Land Management (BLM) b> the December 30th follouing the filing of this waiver.4. The undersigned widerstand tliat if the assessment work obligation has not vet come due wider 30 U.S.C. 28 (for those claims in their first assessment vear only),

a ncitice of intent to hold recitingthis condition must be recorded by the December 30th followingthe filing of this wai,er.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment ofthe inailitenance fee. and that a notice of

intent tohold forthese sites is required to be filed N ith the BLM by the December 30th folloning the filing of tlits waiver.6. The undersigned understand and acknowledge that pursualit to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing oi recording ofa false. lictitious. or fraudtilent

document uith the BLM may result in a line of upto $250,000, aprison term not to exceed five,·ears. or both.7. The mining claims, mill or tunnel sites for which this waiver from payinent of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL. NUMBER

Re 1 €_MC VII 197

4 . F Y - it- e_ 411 . 15.

r

rn9 --*rn10. -7 A

The owner(s) (claimants) of the above mining claims and sites are: 0 N

FF ICE

owAIA Nelsoo(Owner's Name - Please Print) (Owner's Signature)

90 4 1 O Kt 10'J

_60_4(2 -ro__£(Zf-4'fd_*2-E -6-fd_-_ (Cit> ) (State) (Zip Code)

1»_________- (Owner-s Name - Please Print) ((hine ignature)

(Owner's »10!ailing Address) --Wlt>' (State) (Zip Code)

-

(Owner s Name- Please Print) (Owner s Signature)

(Owner's Mailit,g Addre-ss) --(Clt' ) (State) (Zip Code)

----*=- (Owner's Name - Please Print) (Owner's Signature)

(Owners Mailing Address) - 3, ·«City) (State) (Zip rode)-(Continued on page 2)

Il_SEP _ 6 2016 , , 7-6SYL- r-RE CRE_

3313

16 4

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A MJS

Crit---Re.:

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.~ ~ en Recorded Return Doczrly vt, 111 NMEPIEW;1111&~01111110 4 0 FEE# 2016037522

CDc) i e- 0 19 - L OFFICIAL RECORDSCt /3 OF MOHAVE COUNTY ~429* . 1~

ROBERT BALLARD, 11COUNTY RECORDER0 Check here is this is a change of address.

i.: xS22'08/19/2016 02:49 PM Fee: $15.001*Telephone:

E-mail address: CL__UL _ PAGE: 1 of 2

t,-1 •· f. ..1/

4 11 29AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK

1.Stateof Arizona, County of_Mf A Ave _-_ -ss: BLM 9 m2.1 (Name) -Ik-RAI_/CLE.U Date 7.-* f* SStamp3. Reside at (Address) 90 7 0 A¥ 14 A N (Wi .

RECEIVED

Z

..TE OFFICEtile- County /110 A A veState /7 Zzip SY 4//3 being duly sworn, depose and say that I am a citizen of the United States, more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Ownefs name and address (If not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improverhents were made by and at'theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

Sf N n-A At CISCO (optional) Mining District; _ 1~| ok AV ·,2- County, Arizona .


8 K /6 (-9 9 + 9 19 N lo LJ 5-13

5

6


Page 1 of 2

AFFIDAVIT OF PERFORMANC~~ ANNUAL WORK - page 2

BLM

PHOENIX. ARIZO

BLM AZ STATE OF

Date .

Stamp

AUS 22 P P

8

9

10I.

6. That between.the dates starting at 12 o'clock noon on September,1,·20 #~- and ending at 12 9'clock noon onSeptember 1,20 / 6 at least $ 3-00 0 1# dollars worth of work and improvements Weke dond EAnd berformedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly orpartly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein: _-DWA../E~

8. That the work and improvements performed were: I*111-EL_EXE.ktz-tEE_EL_-5-_EJ

R~ »0 v i rj N N J

9. Dated / 657 S Signature: - I . €&SUBSCRIBED AND SWORN TO before me, a Notary Public, this ~~ day of ~l 20 1 6

Angela DelenaNotary Public

Notary Public (31\ %/ ~95* Mohave County, Arizonap..,.,..49 My Comm. Expires 01-20·19

My Commission Expires

No. ofClaims: X$10 * -

Bureau of Land Management Check No.: 7 1 5-9 Init.Arizona State Office-.blm.gov/aZ Receipt No.:,343937 ?

For BLM Use Only


Page 2 of 2


1) 0 0 4/j BEL 5 0 t.)90 49 64 Fh. A n Hwy LAS VEGAS NV 84)

56 0 1 4 e. u \) Al |*. \; , Fl 1 19 AUG 2016 PM 4 L

264 j 3..1 t

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H ZXiI * : p 1«3 5 AJ tx / f SOON-

aSC.,_4-44:2700 1,1,111,11,111'li„1111,1,1,1}11'jl"Ill,1,iii,1 .L. ,,

.

United States Department of the InteriorReceiptBureau of Land Management

DIV OF LANDS. MINRLS & ENERGYONE N CENTRAL AVE



CUSTOMER:DONALD L NELSON9049 W OATMAN RDGOLDEN VALLEY.AZ 86413-7648 US

# 11QTY' DESCRIPTION 1 REMARKS I HTOTAL~~ PRICE j~LOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE AUTH IWAIVER 2017 - 11 11 1.00 1 NO. ONLY / MINING CLAIM MONEY ,1 - n/a - 1 40.0014 / POL 2016 -4 1RECEIVED 1 -,-1111

TOTAL:t40.00

PAYMENT INFORMATION

[7--TYPE:CHF.EKLI-RECERED:08/22/2016--1CHEEKNO: 2159

NAME: NELSON, DONALD LHC 39 BOX 905GOLDEN VALLEY AZ 86413 US

REMARKS


~NTEREn~ AUG Z 4 2016BY: j

,D STATES 41/296

*m 38.10-2 DEPART 1=OF TI 113 INTERIOR((kiober 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION OMB NO. 10()4-()114Expires: October 31,2016


This small miner waiver is filed for the assessment year beginning on September I. _O // and ending on September 1, _So LA .2. The undersigned and all related parties owned ten or 12uer minitip claims . mill, ortunnel sites located and maintained on Federal latids in the United States

ofAnierica on September 1, 1015 -3. 'lhe undersigned have perfornied the asses.ment work i·equil·ed hy law l'or each mining claim listed prior ki liling this waiver.ind uliderstand thal by filing this [blm,

tlie undersigned must fi le mi allidavit ofassessment work with the Bureau of Land Management ( 131.M) by the Deceniher 3 Oth following the filing of this waiver.4. The widersigned understand lhal ifthe assessinent work obligatic,n has tic,1 yet come due under 3() U.S.C. 28 (for those claims ili theiI first assessment year only).

a notice of intelit to hold recitilig this conclition must be recorded by the December 30th Ii)1 lowing the filing 01-this waiver.5. Tlie undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment 01'the maintenance lee. and that a notice of

ilitent to hoId fur these sites is requi red to he filed with the 111.M by the December 3()th 12) 1 linving the filing ofthis waiver,6. The undersignedunderstand and acknowledgetliatpursuant 1043 U.S,C. 1212 and 18 U,S.C, 1001,thefiling orrecording ol'a llilse, fictitious. or fraudulent

document with the HI_,M may res Lill in a fi ie 0 141 p to $250,000, a prison term not to exceed five years, or both.L The mining claims. mill or timnel Ailes ror which this waiver from payment ofthe mainten:Ince fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIALNUMBER1 11 LL 42 AH 73 - 1 r 6 A A Te 1 94 EA C5

rl-1

0 AU

7. 5-rl

9. '0IFT-1

10. zw l

The owner(s) (claimants) olthe above niining claims and sites are:

o Al A ) d k) EL 50 k) 7*.o»(Owner's Name - Please Print) (()Wner 'S Sign'lilli'l

9649 OAM#k] Hw, Go Ide* 1,(ley- 81- 164/3(Owner's Mailing Address) (City) (St'l k ) (Zip Code)

(Owner's e - Please Print) (O er's Signature)

(Owner's Mailing Address (0 (State) (Zip Code)

(C)\4'lier's Name - Please Print) (Owner's Signature)

(C)wner's Mailing Address) (City) (State) (Zip Code)

(Owner's , me - Please Prilit) NTEHE (Owi -'s Signature)

(Owner's Mailing Address) SE 1 4 * ccity) (s, (Zip Code)(Continued on page 2)

BY: 4--~- Nuj -RF 119, f 1 4

r -4

(Owner's Name - Please Print) (Owner's gliature)

(Owner's ailing Address) (city) (State) (Zip Code)

(Owner's Name- Please Print (Owner's Signature)

(()wner's Mailing Address) (City) (State) (Zip Code)

(Owner's Name- Please Print (Owner's Signature)

(Owner's Maili Address) 't ) (State) (Zip Code)

wiier's Name - Please Print) (Owner : Signature)

(C)wner's Mailing Address) (City) (Sta (Zip Code)

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crinie for any pei·son knowingly :md willfully to make to any department or agency ofthe United States anyfalse, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONSL Thiscertification is iiiade unciei the provisions 0143 U.S.C. § 1744 and 30 U.S.('. 428-2Xk .111d the regulations thereunder·(43 C'FR Part 3830).1 The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The clailii:int(s) iliust fill in thedate iii paragrapli 2 furtlie beginning ol'theassessment year li,t whicli thiswaiverissought.4. All claim and site names and BLM serial numbers must be listed for the mining claims. mill Kites, and tunnel sites for whicli the waiver is sought.5, All owners ofthe mining claims. mill sites, and tunnel sites and their addresses must he given.6. This waiver form must be signed by all the claimants or their designated agent. in original form. 1 f mi agent is designated. a notarized designation of

agent, signed by all of the claimants with proper addiess given, must be submitted with this waiver.7. This 1'01-117 nitist he filed no latertlian September lst forthe upconiing assesslnent yearin the BLM State Office where the mining claims or sites are |

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012. which begins on September 1,2011,you must qualify fur and file ful· a waiver no later than September 1,2011, in the proper BLM State Office.)

8. For all mining claims which requireassessment work, you must record an affidavit oflabor on or before the December 30th immediately following thefiling of'this waiven For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30111 immediatelyfollowing the filing ofthis waiver.,

9, M i 11 and tunnel sites may also be listed on this waiver and be waived from payment ol the maintenance fee. A notice 01'i*nt torkgld fdFOI~ese sites isrequired to be filed by the December 30111 Ibilowing the filing ofthis waiver. I 3 ~i

CDrn > b

3~ 5

'»Ili1.0 .) 01 rn

71 /1530 W 4> A) 6

0 ..9

FOR OFFICIAL USE ONLY

(Continued on page 3) (Form 3830-2. page 2)

\ , 4 ( 129 6When Recorded Return Document to: lili IRERI'lgASUT&*Mffll Ill

kIEL56 )1 FEE# 20150 6721\0

601 A // 2 OFFICIAL RECORDS <~~~~*~~~/ CAROL MEIER, ~

OF MOHAVE COUNTY 5~COUNTY RECORDER

0 Check here is this is a change of address. . ...• I08/17/2015 01:46 PM Fee: $15.00Telephone:

E-mail address. N/A PAGE: 1 of 2


1. State of Arizona, County of MOMbve ss: BLM f n 1

2.1 (Name) D O NA /0/ AJEL. fo W Stamp ~ ~ 'nDate . 4- U=) -: Tl

3 . Reside at (Address) O 9 ~ AJ ZJ -0 1 ,-n0

- UJ

0% Co /de- u d* 11e.1.-- county f\6 k Ave- > N 3

State Rzz,p i 6 9/ 1 being duly sworn , depose and say that I am a citizen of the United States , more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Ownefs name and address (If not shown in Items 1 -3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

f) w FFAN Cisco (optional) Mining District; Mo A A l/C. County, Arizona.


1 4// 196 0) est A AYE B l I 4 59 8 19 1? lu 20 w s -1 8

5

6

Form: MCF108Revised Jan. 2006

~ 6 w Page 1 of 2 ~

'L 1 - 0 A '- j1,1 Y:___F='*4*M

r .

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2

BLM g ,-r, Ir 'rn > ->Date z 55 , ¢ -Stamp X r.0 '1 CD

irn

':7

8

9

10

6. That between the dates starting at 12 o'cio*poon on September 1,20 / 4 and ending at 120' clock noon onSeptember 1,20 /5 at least $ /06 0 E- dollars worth of work and improvements were done and perf6rmedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein:-~-

Al EL 160 DIJ U MdreJ of k & A S f NAB J8. That the work and improvements performed were:

SUBSCRIBED AND SWORN TO before me. a Notary Public, this 2 1 day of 20 11

By: Angela DeLenaNotary Public

Notary Public 5/4* - Mohave County, Arizona• 1, " My Comm. Expires 01-20-19


No. of Claims: x $10= -Bureau of Land Management Check No.:(9 1 1 -Arizona State Office

Receipt No.: (337For BLM Use Only


Page 2 of 2

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

l lirk17 AUG 2015 PM 5 L ...-.* -1/P -27,/6.-4--

: T, T,VED/ f.r,-FGFFICE\ (44413 O»Y ~f ~1*~~ - - ~ -1615 AUG 2 1 P 2: 28

8 4/ . fyi BurT NIX. ARIZONArt,UL,

1 w . 6122 0th09 »4 0»

t 505 LA~4,11-)111!11,11,111111/p'411,1,11''i,111111,i,11,111,4,1,1,

1 ,. Page 1 of 1





CUSTOMER:DONALD L NELSON9049 W OATMAN RDGOLDEN VALLEY,AZ 86413-7648 US

-[TRi-fl-# 11QTY' DESCRIPTION 1 REMARKS 11 lITOTALI~~ PRICE ~ ~LOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE MAINTFEE~~

1 111.001|AUTH NO. ONLY / MINING CLAIM WAIVER (4) 2016 / - n/a - 40.00MONEY RECEIVED POL (4) 2015CASES: AMC411296/$40.00

PAYMENT INFORMATION1 1---AMOUNT: 140.60[POSTMARKED: 108/17/2015

TYPE: ICHECK---~~-RECEIVED: 168/21/2615

NAME: NELSON, DONALD9049 W OATMAN RDGOLDEN VALLEY AZ 86413-7648 US

REMARKS


~3NTIZESr. 1 1-

116 - OFBY: .219.6--

8/24/2015

,

UN i, rr' STATES ~Sl Am(191/496Fonn 3830-2 DEPAR'EME;tt l)1? THE UNTERIOR(October 2013) BUREAU OF LAN[) MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION cAm7- 1 OMB NO. 1004-0 114Expires: October 31,2016

SEE INSTRUCTIONS ON PAGE 2 \

--5-Er-----1 This small miner waiver is filed f.brthe assessinent year beginning oir Septembel 1, jo lij _i-62-e~~Mg on September [,2 The imdersigned mid all related parties owned ten or feiver inining c]Flims . mIN, or temnel sites located and Inamtained on Federa[ lands iii the United States

of America on September 1. _20.193 The undersigned have perforined the assessmenl workrequited by la,v for each inimng clainilisted prjoi to filing tlils wai,·er and understand tliat b>filing this form,

the undersigned must file an affidavit ofassessment work with the Bureau of Land Mallageinent (BLM) 1,5' the December 30th following the filing of this waiver4. The undersigned understand that i f the assessinelit w'ork obligation has tiot yet coine dile undel· 301.-1. S.(]1 28 (for those claims in their first assessment year only)

a notice of intent to hold reciting this condition must lie recorded by the December 30th following the filing ofthis waiver,5. file undersigned understand that mill and tumiel sites inay also belisted on this waiver and be waized from payment of the maintenalice fee, and that a notice of

intent to hold for these sites is required to be filed nitli the Bl.M by the Deceniber 30th following the filing of this wair er.6 The undersignd understandand ackilowledge that pursuant to 43 U.S O. 1 212 and 18 Ii.S.C'. 1001, tliefiling or recording ofa ~se, fictitious, or fraudulent

(loculnent Bith the BLM may reelit in a fine of lip to $250,000, a prison term not to exceed five years, or both7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBERT. -1/5-/37-B'-FB~-AYE ---- _ _-~--1 - _____L------111__EL__11 -~fiETP~7 11 Z2-__F, I---GRs[ ¥-,0-t__AGATE 411 297

5. -06. 0

.In--45---=453-7.

E cn :n rn8. 00

9. 9 ltv -Tl

> N-----ry-The owner(s) (claimmits) ofthe abo,e mining claims alid sites are cr 77

bo NA__1__d _-*_8 ELB 0_0_(Outier's Name- Please Print) (Owner's Signature)

3-9--91__9 AfF\Aw_ H pll- 60_1d ery)__\)A-\1,_7__ ft-1 _ ~4/3(Ch#ner s Mailing Address) ((18 3 (Stme) (7* Code)

iner s Name - Please Print) (C)„ner'b Siytinture)

. tale) (Zip Critic)

((-)wrier's Nume- Please. Print (()nnt·Es Sijili;Illire)

(O,iners ilailing.Addresgl l( iIi (Vme) (2'ti~Co~le)

((-}i, ner'MN mil Ase Plilll) NTERE C r),1 ner's Sit!!inlittel

((A,ner's Mailing Address) - SEP TO-£701 11> ) (State) (Zip Code)(Continued on miye 2) 4 0

By:

r 1

(Owndr S-.8, ' - P[ease Print) (Outier''s Signature)

(Owner's Mailing Address) ((„ilt (State) (Zip Code)

(Owner's Name - Pletise Print) ((hvtier's Signature)

(0 ailing Addressl (City) (Zip Code)

(OHner's Nalne - Pe. int) (Owner's Signatur

(Owner's Mailing Address) (State) (Zip Code)

(Owner's Name - Please Prii (Owner's traturtl, co

Owner's Mailing Address) (('ity) m ~ate) G :x*Zip ('ode)'Tl

-18 U,S.C. 1001 and 43 U.S.C. 1 212 makeit a crinieforany person knowingly and willfully to make to any department·orage,ip*:#Df th*.6[jiled States anyfaise,-fi£FltioNE or-~i·audillent-stateme,itf-91 representl8A~Las to any_iiia--ter within its jurisdiction, 33" =ts___-P-_--_.--1.-2-*--------2-ZIL.--- ---------.=--===IZIZZLEZZZ==-=---=--=ler=10=f,16&

INSTRUCrIONS o r>:p L1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 LE.S.C. §28-28k mci the regulatic,lis thereul* (43 6:511 PE@*830),2. 7'he claimant(s) must fi If in the dates in paragraph 1 R,r the beginning and ending of the assessment year for which this waiver#sotig%3, The claimant(s) must fill in the date in paragraph 2 for the begintling of the assessinent yem· for whidi this waiver is sought.4, All claiin and sitelianies and BLM serial,iumbers must be listed for the mining claims, mill sites, mid tunnel sites fin· which the naiver is solight5 All owners ofthe mining claims, mill sites. and tunnel sites and their addresses must be given.6. This waivei· fc,im must be signed by all the claimants or their degignated agent in original form. Han agent is designated, a notarized designation ofagent. signed by al] ofthe claim;ttits with proper address given, must be Sllbinitted with this waifer,7. This form must be filed 110 laterthati September lit for the upcoming assessment yetw in the BLM State Otfice where the mining claims or sites arerecorded, ortix waiiet' camint be b,·anted b> the BLM. (lixainple: Tool)taina vaiver for theassessinem year 2012, \,hicli begins on September 1. 201 1.yoti must quitlity for and tile fbi a waiver no later than Septembei· 1,201]. in the proper BLM State Office.)8. For all mining claitii: which require assessnient wei'k. ycilt litust l'ecord 1111 allidtif it oflaboi· 0 (,r before Llie Decembei· 30th imniediately liillimi,ig thefiling of this waiver. f'2,1- all either mining c[ainis or sites ~aived. y,)u must record,1 notice ofintent ici Itc,Id on or before the December 30[Ii immediatelyfolle,ring +e fi!ims ofthis ·re:.. 7,·9. Milland tutmelsites mi,yalso belisted oil this fi Bii er kii,d be #ini, ed li'lilli pirj went oithe maintenailee fee. A notice ofintetitto hold forthese sites is·requited In be filed by the December .90111 followint the filing of'this nai, el.

FOR OFFICIAL LISE ONLY

Colmmied M page 3) (Form 38if}.2. page 31

=2 AME 911~910When Recorded Return Document to: 1111"1~5ui#1111!*'lleki~lifililll14 EL<.bl

1 + Hal FEE# 2014035628A / 2 OFF ICIAL RECORDS '*Se"ft*

OF MOHAVE COUNTY ~L **L. 11CAROL MEIER,O Check here is this is a change of address. COUNTY RECORDER \~8

Telephone: ----1--i--i---i--------I------I--------- 08/14/2014 02:54 PM Fee: $15.00

E-mail address: PAGE: 1 of 2

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK71 = ~22

1 State of Arizona , County of Ave.SE BLM 1--T-1 mi -1>

Date XI...

2 . 1 (Name) AJ Aid e L Saw Stamp55

3 . Reside at (Address) ~/ 4/ Atin AM NVO m

XI 00

State FZ z;p 56Y/3_ _ being duly sworn , depose and say that I am a citizen of the United States , more thaneighteen years ff age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner's name and address (If not shown in Items 1 -3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in theSAN F:- A Wrisco (optional ) Mining District ; M0 4 A v B County , Arizona .


1 4 1 1 5- 96 \,) e St A Ate_

4 41 / 19 9 EAT- E , rt A Aft BR /651 9 17 11 0 9- 0 U) 1 18

5

6

Form: MCF1081~NTERE~ Revised Jan. 2006Page l of2

AUG 2 0 2014 - 1


81 M 1 363 -77

BLM XDate COStamp 50

70ORn-nZ

N

7

8

9

10

6. That between the dates starting at 12 o'clock noon on September 1,20 and ending at 12 o'clock noon on

September 1,20 at least $ dollars worth of work and improvements were done and performed

upon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside of

a contiguous group of claims for the benefit of all, not including the location work.

7 . That the following persons were employed to perform the work and improvements described herein : 'DO 0AIJ

8. That the work and improvements performed were: D'11 / w 3 E k 2/0,- A-1-,b N /*/es /IM d

Re N, OU / Al 2 14 40 J

bignature:

SUBSCRIBED AND SWORN TO before me, a Notary Public, this ~ £-~ day of , u <1/1.20

BY:Notary Public . 60£ 9t-LE-ZA Bai! *El wu.loSAM Kz,w49

My Commission Expires 02 3 oilqnd AlmoN l[.El ~*

uinci60 e!4;uAO

No. of Claims: 11 x $10 = 4015Bureau of Land Management Check No.: ,9-,65 (-/ Init. - £---4 *\ -L_ 1 c

Arizona State Office ------.- -----F-

www.az.blm.gov Receipt No.:, 3/ " tr 3/ c-Cynthia Oqburn For BLM Use Only

Notary Public14~ S«),/0 Mohave County, Arizona

- 13,1 My Comm. Expires 12-31-16 Form: MCFIONRevised Jan. 2006

Page 2 0 f 2


936-LQ \[~gj<>C~H UJi 1.·AS: ls'{13<945 :M'V :26© ~fl=-*2~-EM .. B --*9049 OA» 1*\ A N

R 2* .1%,1 :*41_jG 2.#.14 PM 2- L Z>>~..,.,,:llrk 71w-

?614 AUG 18 P 2: 2U# 4 A.Fr,ItPHOENIX. ARIZONA

Gagk 5~pitnel**St, CJA/23C Re VTk Difi*.m*-v

.--- , 1.1,1:ililifill ;Ijlilli' li.i:ijii!!jitijiMjji'ji~"'ill'ill-il .."

.

Page 1 of 1

AUG 2 0 2014 : 1United States Department of the Interio~ N T E Fl --~Bureau of Land Management Receipt





DESCRIPTION 1 REMARKS 11 lITOTALI~ PRICE ~

CLAIMS-NOT NEW-UNADJUD,ONE |MAINT FEE1 111.001|AUTH NO. ONLY / MINING CLAIM WAIVER (4) 2015 / - rda - 40.00

MONEY RECEIVED ~POL (4) 2014 luCASES: AMC411296/$40.00 L-1

PAYMENT INFORMATIONl AMOUNT: 46.00 POSTMARKED: 108/14/2014

1-----TYPE: ICHECK-RECEiVED: 168/18/2614CHEEKNO: 12354--

NAME: NELSON, DONALD L9049 W OATMAN RDGOLDEN VALLEY AZ 86413-7648 US

REMARKS


8/19/14

R Ir-- D STATESDEPARTM OF THE INTERIOR iForm 3830-2

(September 20 10) BUREAU OF LAND MANAGEMENT \« FORM APPROVEDMAINTENANCE FEE WAIVER CERTIFICATION 313 Erpires: August 31,2013

OMB NO. 1004-01 14

SEE INSTRUCTIONS ON PAGE 2 1 \ &6191 . This small miner waiver is filed for the assessment year beginning on September 1 , 20 11 and ending on September 1 , 0-0 19.2. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States ofAmerica on September 1, 2-0/33. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form. an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, andthat a notjce of intent to hold for these sites is required to be recorded by the Deceniber 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau of Land Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The minin, claims, mill or tunnel sites for which this waiver from a ment of the maintenance fees is re uested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER257 /1 $ A E Mc 1 0- L

Mc ) 11 71- t A 7'2. /1 11

e At f_ , 95.

6

7.

8.

9

10.

eThe owner(s) (claimants) of the above mining claims and sites are:

NA 4 L L 50 0(Owner's Name - Please Print) lowne'Signature)

90 4 9 A A 4 4(Street or P.O. Box)

Co_td_«__dA_lie»__5__*_fC(City) (State) (Zip Code)

(Owner's Name - Please Print) (Owner's Signature)

(Street or P.O. Box)

(City) (State) (Zip Code)

I---- ---4-*-Ill-I.-----I)-)-I-+mili.(Owner's Name - Please Print) (Owner's Signature)

- ~NTERE(Street or P.O. Box)

~ SEP / 9 ' 11, Q

(City) (State) (Zip Code)(Continued on page 2)

-1

'


(Street or P.O. Box) (City) (State) (Zip Code)





(Owner's Name - Please Prjnt) (Owner's Signature)


Title 18 U . S . C . Section 1001 and Title 43 U . S .C . Section 1212 makes it a crime ror any person knowingly and willfully to make to Hny department or

a enc of the United States an false, fictitious or fraudulent statements or re resentations as to an matter within its urisdiction.

INSTRUCTIONS

1. This certification is made under the provisions o f §1744 of Title 43 and 4 28-28k of Title 30 of the United States Code; and the regulations thereunder (43

CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.

3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.

4. All claim and site names and Bureau of Land Management (BLM) serial numbers must be listed for the mining claims, mill sites, and tunnel sites for

which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.

6. This waiver form must be signed by all the claimants or their designated agent, in original form. 1 fan agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address gi, en, must be submitted with this waiver.

7. This form must be filed no later than September lst for the upcoming assessment year in the BLM State O ffice where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment >ear 2012, which begins on September 1. 2011,

you must qualify for and file for a waiver no later than September 1, 2011. in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following the

filing of this waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediately

following the filing of this waiver.9. Mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee. A notice of intent to hold for these sites is

required to be filed by the December 30th following the filing ofthis waher


B

(Continued on page 3)(F,jim 38.30-2 , page 2)

When Recorded Return Docl~~11~Ilt to:JEL,00 1111 M6FI XZI'&ll~. Rk)81'~Eartflilll

# FEE# 201304357849 ) OFFICIAL RECORDS Aftx

OF MOHAVE COUNTY 0085;=%O Check here is this is a change of address. CAROL MEIER, 12<*mCOUNTY RECORDERTelephone: f,fl08/16/2013 03:03 PM Fee: $15.E-mail address:

PAGE: 1 of 2


1. State of Arizona, County of MO 4 /6 Ve- ss BLMDate2.1 (Name) _~_gil~d___A~La--9 Stamp

3 . Reside at (Address) 90 4 9 0* f lvI A W HWY* /,1

Cly (10 /Vt 0 0 Alle.1 County M O A AutState RZzip f 6 9/J being duly sworn, depose and say that I am a citizen of the United States, more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent Statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner' s name and address (If not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the3-A w .F, A 0 E i SCO(optjonal) Mining District; /1/10 A , 0* __County, Arizona.


8 /6 5 9 17 / 1 P 10 w 5-13Rig_

10 w 5-1

6

Form: MCF108wijan. 2006

ENTEI* nge j of

SEP 6 4 2013 ~

BY: *r-

AFFIDAVIT OF PERFORMANCE 1 -\NNUAL WORK - page 2

1

1

BLM / ,,/, J

Date ,.''Stamp

j ,3

7

8

9

10 -

6. That between the dates starting~ 12 o'clock noon on September 1,20 20 liand ending at 12 o'clock noon on

September 1,2010 13atleast $ 1 /600 LE dollars worth of work and improvements were done and performed

upon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside of

a contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein: b DA; A /6/.

8 . That the work and improvements performed were : -bill ip J E ,f I ON Al- toN 1\014- ABJ

U t

9. Dated: Aul d '10 J Signature:

SUBSCRIBED AND SWORN TO before me, a Notary Public, this ~ ~-p day of ~.#d[ 20 /~·.~)

AG3Ll#'A Angela DeLenaA,8,-#ri Notary Public11.< Defh ell~,1«*3* Mohave County, Arizona


No. of Claims: ' x $10 - 40

Bureau of Land Management Check No.. 2231 1 Init. nbt:tArizona State Office -

www.az.blm.gov Receipt No. I. (6) SS9593

For BLM Use Only


Page 2 of 2


--- 9 - --- -I. -- --------Ill--

Dvill VI90 4 1 6mf™t~ 8-74 . -40 AUD *1.:*0 t-fl ) L

FOREVERr#7...

269 1 3 -1,6 5 0'»IR. < paL. 3-r11~n 18 1 , M '

upf J »/45041, A, 09*01 0*

Qjv*©0*, ) AL .. i soo 4/ 44 1785004$4427 11,11'ill-,i:i,ji,jijjilillifill'li].,ii,i„ijjili,j,Iji,jjifilij

Receipt Page 1 of 1




Transaction #: 2945'746Date of Transaction: 08/20/2013

CUSTOMER:DONALD NELSON9049 W OATMAN RDGOLDEN VALLEY,AZ 86413-7648 US

~ PRICE ~1 REMARKS 11 lITOTALI

LOCATABLE MINERALS / MINING CLAIMS- 1---11~1--1|NOT NEW-UNADJUD,ONE AUTH NO. ONLY / ||POL 2013/4 |1 1 111.0011 11 - n/a - 11 40.00

|CASES: AM(411296/$40.00lIMINING CLAIM MONEY RECEIVED WAV

1 1---AACOUNT: 46.66 POSTMARKED: 168/16/2013-TYPE:ICHECKRECERED:168/19/2013

CHECKNO: 123-11NAME: NELSON, DONALD L

9049 W OATMAN RDGOLDEN VALLEY AZ 86413-7648 US

---------REMARKS


http://cbs.blm.gov/cgibin/cbsp/zorder 8/20/2013

% 44459/.2 96UNITED STATES

Form 3830-2 DEPARTMENT OF THE INTERIOR(November 101()) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION OMB NO. 1004-0114Expires: August 31,2013


1. This small miner waiver is filed for the asses.iment year beginning on September I ,,A 0 / land ending on September 1, 12 /3 . 12. The undersigned and all related parties owned ten or kwer mining claims , mill, or tumiel sites located and maintained on Federal lands in the United States

01 America on Septeinber 1, __~e-1.1.3. The undersigned have performed the assessment work required by law fur each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit ofassessment work with the Bureau of Land Management (BLM) by the December 30th following the filing ofthis waiver.4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (forthose claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 3()th following the filing ofthis waiver.5. The undersigned understand thal mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee, and that .1 notice of

intent to hold fur these sites is required to be filed with the BLM by the Deceniber 30111 following the filing of'this waiver,6. The mdersigned understand and acknowledge th,it pursuant to 43 U.S.(',1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitioits, or fraudulent

document with the BLM may result in a line oiup to $250,000, a prison term not to exceed five years, or both,7. The mining claims. mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER

1 . LJ n 51- AG A te t1C14 C

3.C_

AA , or5.

6.

8.

9.

10.

The owner(s) (claimants) of the above mining claims and sites are:

(Owner's Name - Please Print) 1 (Owner's Signature)

_9_Q_*9__Q#AN____M-< 66/ri & 0 V Aliey FR_ Et¥/3(Owner's Mailing Address) (City) i (State) (Zip Code)

--


(Owner's Mailing Address) (City) (ll*) ' 2 (Zip Code)73 Cm,

0 O >rn rn(Owner's Name - Please Print) (Owner's Sig'nature) C-7 * -rn

-C)_J -1 m- 33.-'11~(Owner's Mailing Address) (City) ]33 (st:~) . 71~,gp Code)

------I-------------------~-?-----li--- ----------0 e 4

W-3(Owner's Name - Please Print) (Owner's Signature) U '7 1

(()wner's Mailing Address) (City) (State) (Zip Code)-I.-

(Continued on page 2)


(Owner's Mailing Address) (City) (Zip Code)(State)

(O\vner's Name - Please Print) (Owner's Signature)

(Owner's Mailing Address) (City) (State) (Zip Code)

(Owner's Nan ie - Please Print) (Owner's Signature)



(Owner's Mailing Address) (City) (Stale) (Zip Code)

18 U.S.C. 100 l and 43 U.S.C. 1212 make it a crime for any person knowingly and will fully to make to any department or agency of the United States anyfalse. fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the. provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 C'FR Part 3830),2. The claimant(s) must fill in the dates in paragraph I for the beginning and ending ofthe assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning o f the assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners oithe mining claims. mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. I f an agent is designated, a notarized designation of

agent. signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later thitn September I st for the upcoming assessment year in the BLM State O ffice where the mining claims or sites are

recorded. or the waiver cannot be granted by the BLM. C Example: To obtain a waiver fur the assess ment year 2011 which begins on September 1,2011,you must qualify fur and file fur a waiver no later than September 1, 2011, iii the proper BLM Slate Office.)

8. For aH mining claims which require assessment work, you must record an affidavit of labor on or before the December 3()th immediately following thefiling ofthis waiver. For :11 other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

9. Mill and tunnel sites may also be listed on this waiver mid be waived from payment 01-the maintenance fee. A notice ofilitent,t©Old lor these sites is-0 Crequired to be filed by the December 30111 following the filing of thisi waiver. I - *..#N -1

0 >~2 s== --=m?i52 -- -1 2 m

'13 02-4, 1CD ly ·77-r W -n

-3


(Continued on page 3) (Form 383()-2, page 2)

)«U[to -

0 ..-' 3:

00m

--1 .77

TIAL V ...&.t ..0,#.0 -Z''1126 . ng:. r¥ in.<- 1~1'1. / rrin ; C » NS

904 9 6At m A N Hwy 12/ M ",XY& -3&///////'//' r-L-

a . 7-~GY- 9%1 34 2 1

FOREW

Go id et# 7, 11 ,1 SL. ILJ A.-9 --4,- 3:5 . 4 . 3 -SLZ..- - - U. /.//Firk:.Fl//W"SPrn :-1,/F nHL.UL| H L L.1 .1864/3

Jlolz DEC 1 -h,f SUE 17*n,«**~PHORNI A -

9 11& 060

,d * 8506 q11, '1, '1,1,11„ ,11„„1„1,1, '1,1, '1„1,11„ ,Ill,, 'll,„'ll, '1

. --= .:./ r ' .:.'&G,#&4%£//55~1*

,

4#IN84 United States Department of the InteriorBUREAU OF LAND MANAGEMENT

TAKE PRIDCArizona State Office INAMERICAOne North Central Avenue, Suite 800

Phoenix, Arizona 85004-4427www.blm.gov/az/

December 6, 2012In Reply Refer To:3800 (9310) TSAMC411296

CERTIFIED MAIL - RETURN RECEIPT REQUESTED 7011 2970 0002 3234 9754

NOTICE

DONALD HELSON9049 OATMAN HWYGOLDEN VALLEY, AZ 86413

WEST AGATE, FAR WEST FIRE, FIRE: AGATE, EAST FIRE AGATEAMC411296 - AMC411299

Maintenancefee-,Waiver_Heldfor.Rejection

This office received the Maintenance Fee Waiver Certification (waiver) for the above listedmining claim(s). The waiver is not properly completed and does not meet the annual filingrequirements.

In accordance with 43 Code ofFederal Regulations (CFR) 3835.10, the name, address, andoriginal signatures of all owners of the mining claim must be included on the waiver form.Please correct the discrepancy as noted below.

The Maintenance Fee Waiver Certification form received does not contain an original signature,it is a copy. We require the original signatures of all owners ofthe mining claim. Return thesigned copy with the original signature to the attention of Tony Smith.

In order to correct the defect in the waiver, per 43 CFR 3835.93, you must provide this office Iwith the requested information within 60 days of your receipt ofthis notice. If you are unable toprovide this information, you have the option ofpaying the annual maintenance fee of $140 perclaim. If your claim is a placer claim the annual maintenance fee of $140 per 20 acres would bedue. If neither is received within the 60 day time frame, the claim(s) will be declared forfeitedand closed.

• Complete items 1, 2, and 3. Also complete A. nature ~item 4 if Restricted Delivery is desired. Agent

• Print your name and address on the reverse e Addresseeso that we can return the card to you . B. Received y ( Printed Nameb C . Date of Delivery 1

• Attach this card to the back of the mailpiece,or on the front if space permits.

D. is delivery address different from item 1? 0 Yes1. Article Addressed to: , If YES, enter delivery address below: E No '

1_

DONALD HEL*N:; M -09049 OATIVI*-'~WVY £1 ~GOLDEN VAL£5YEAZ A4413 <C 3. Service Type

0 Certified Mall 0 Express MallAMC411296~-It) 3 5 0 Registered 0 Return Receipt for MerchandiseO Insured Mail O C.O.D.

4. Restricted Delivery? (Bdm Fee) Il Yes

2. Article Number .-'=7011 2970 0002 3234 9754(Transfer from ser,ice labeD

PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE.-4. ;4 -·; -~ ~ || .--. 1 First-Class Mail " '~- -_ _ » -----~ -Postage & Fees Paid

I USPS1 Permit No. G-10 1

&'

0 Sender: Please print your name, address, and ZIP+4 in this box '

1 Bureau of Land ManagementArizona State Office (AZ931-TS)One North Central Avenue, Ste 800Phoenix, AZ 85004-4427

i; iii'i:i11„1'll, 1,11' „ i}„; ,), d ;t i, 1,1„li,1,11„,111.'lit„,Hi,1

,

2

If additional information is required, please contact Tony Smith 602-417-9355. Please includeyour AMC serial number(s) on all correspondence.

Rebecca HeickGroup AdministratorLands and Minerals

Enclosures

, ,

486

F ...

I. 1 )UNITED STATESForin 3830-2 DEPARTMENT OF THE INTERIOR (540(November 2010) BUREAU OF LAND MANAGEMENT FORM APPROVED -

MAINTENANCE FEE WAIVER CERTIFICATION \u~11 OMB NO. 1004-0114Expires: August 31,2013


1. This small miner waiver is filed for the assessment year beginning on September 1, and ending on September IL 14-/-625--2. The undersigned and all related parties owned ten or fuwer mining claims, mill, or tunnel sites located and maintained on Federal lands in the Unite

of America on September 1, __i €_CL-3. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 30th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee, and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understandandacknowledge thatpursuant 1043 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording ofa false, fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NlJMBER

1.-UU-ef-Ar Aft

RciA j M C lilir MC

5.

6.

7.8.9.

10.

The owner(s) (claimants) of the above mining claims and sites are:

--__inL3L_fLM131___L__I122=2:L_ '53 meAD j/\i~Jo-,-


00£1 0 K t_N_B_*r/- 901«__*Ii_« Hz- S_«f_(Owner's Mailing Addres4 (City) (State) (Zip Code)



- r--(Owner's Name - Please Print) (Owner's-Signatul~ 1_

CD -„. I> _-.,1(Owner's Mailing Address) (City) - rn-bestate) r"b-j(Zip Code)

_J 7.5,133· ,-1 <(Owner's Name - Please Print) cown(rIT6lgnatuiiiEi

/-h r.- 71

(Owner's Mailing Address) (City) -Btate) CD (Zip Code)

(Continued on page 2)

SU ENTERED IN COMPUTER<12 <i_ 9 - \9 \72

1111!BW,4(18,11*ME*jil~~RliEill 111When Recorded Return Document to: FEE# 2012044072S w/ EL Sod

' OFFICIAL RECORDS 40£47451D t~ el OF MOHAVE COUNTY /#te~nSCAROL MEIER, In -".-4 '*/6 )3 COUNTY RECORDER

0 Check here is this is a change of address. 08/22/2012 03: 18 PM Fee: $15 --00~Telephone: PAGE: 1 of 2E-mail address:

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK42

11? AUG

MA

1. State of Arizona, County of MO k Ave ss: BLM

2.1 (Name) Q_*Aid__-N_EL_foj Date A) .5177Stamp > U EG 2

3. Reside at (Address) _lo.V-qA-tiviAE_ELS>fl CD 052 IN

- nCity 66/J€N (/A//ey county /4 0 A dveState 42 Zip e69/3 being duly sworn, depose and say that I am a citizen of the United States, more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner's name and address (lf not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

SAN Ft 4 WC/560(optional) Mining District; __f~-fl_~ A U 6-- County, Arizona.

AMC COUNTY RECORDERLine CLAIM/SITE NAME TWP RNG SECNUMBER DATA (If available)NO.

1 4// 196 v) Eft 45 ATE BK 1659 r 11 i 9 N * v) 5-18

N

411 >9% Fire - Aft BK /659 f 03 1 9 B 10 w s.16


Page 1 of 2

ENTERED IN COMPUTER99- 9 -\C~ -,


r'O

BLM -: £2-1 ,0Date ElmStamp 7-1

O

7

8 --

9

10

6. That between the dates starting at 12 o'clock noon on September 1,20 and ending at 12 o'clock noon onSeptember 1,20 -2Qllat least $ /000 F dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7 . That the following persons were employed to perform the work and improvements described herein : fl>ofv , IJ. So 0 b

8. That the work and improvements performed were:

9. Dated¢ZL~ 3 R 7·0/~ignature:

SUBSCRIBED AND WORN TO before me, a Notary Public, this g~c~ day of 20__~ ~.BY:

Angela DeLenaNotary Public

13*** Mohave County, ArizonaNotary Public

My Commission Expires 3 5 ,(©~g> My Comm. Expires 01 -19-15

No. of Claims: 1- x $10 =Bureau of Land Management Check No.: c></c~ Init. _Arizona State Office- .az. blm.gov Receipt No.: _ 624 331{4

For BLM Use Only


Page 2 of 2


Do,-5 K /4 ME L 56098 4 9 04- Pi A N N u.~V . U-412 7.tLACIZa i 'd Y d!:C

- I:*a

00 8? r. 05-' 1 0 f'b•.3 -> 1 S *60 id e w 9 All 21/ RZ. B L. M A 45§ 5 1 VFD' 4 0 ]AT 'F 6 - -8 64/3 Mil AUG . ..LICE

0 6

4 A -»24 cuu~ a»e, 5-1 no ~4 f /VY€« f gs- 004- 9462~ 11

85004442700 11"ll,1,1'lli"ll"I,1,11,1'll,I"I"lili",111,1,11 1/,1 111,1

Do,3* /4 MEL Go,JLAS :VE GzQ A; '' : :-*-:-=.9849 04 FLA F Hu,4 . : : 3 .- 2.,GL(

/1/DCh f*: sr- -75-410 *893 -3 9 ~M ~

66 /d e w VACI el / /fz . Ell.M ~, 1*Ely'ljll , p, i t. J ?AT/BA r -864/3 ._- 7/CEZOIZ AUG , n%/~ 3 K-;7246,4@4 JYN. O #m.

0 A« »*u cm~luj 04-6/ 5%, ?60

06 8 900 4 - £11 LI- sl;

850044427r 11"i':1)1'llit'll/„,1/,!/i„1,1 ,$/11 1,111"ill'*,11'.,(11"t

Iinited States Depal~ t of the Interior4 r Bureau of Lan(~nagement Receipt

* LANDS/RECREATION & PLANNINGONE N CENTRAL AVE



CUSTOMER:

E,-If-905-DONALD L NELSON

GOLDEN VALLEY,AZ 86413-8381 US

1 REMARKS 11 lITOTALIDESCRIPTION -r-ERi-fll----11 ~I PRICE 1~ 1

| UNADJUD,ONE AUTH NO. ONLY / MINING CLAIM POL 2012/4 11 1 111.001 - n/a - 1 40.001

CASES: AMC411296/$40.001 MONEY RECEIVED WAV 1 -Ul----1

F----TOTAL:-$40.60

PAYMENT INFORMATIONE----AMOUNT..~IPOSTMARKED. IN/A1----TYPE:ICHEEKIIRECERED:08/27/26121--CHEEKNO: 12127

NAME: NELSON, DONALD LHC 39 BOX 905GOLDEN VALLEY AZ 86413-8381 US

REMARKS .

This receipt was generated by the automated BLM Collections and Billing System and is a paper repr entation of a portion of the officialelectronic record contained therein.

NOTICE!!






1111111 Ill lili 111111® lili l illi lili liliBox Number= AZ15055

1111111111111111111111111111111111111 11111111111111111111111111111111111111111111111111 lilli 111111111 MilClaim Begin-End: AMC411296-AMC411299

6 Location Notices-Amendments and Supporting Documents

Ill'llilillillilll Illilill'lll'llil AZ15055-14 AMC410569-AMC411560

1 0MINING CLAIM STATUS REPORT

MTP Checked by NOV 0 8 2011 <gDATAENTERED NOV0820118 GEO Checked by -ly/Tr-071*2/1/Ii-

LEAD SERIAL NUMBER AMC 6/ ) 1 AD) 1-2 mru AMC ---4-11-ff]1 _# OF CLAIM & TYPE CHARGES# LODE Location Fee @ $34 = $

# PLACER Processing Fee @ $15 = $

# ASSOCIATION PLACER Maintenance Fee @ $140 - $

# Mill SITE Overage (+) $

# TUNNEL SITE Shortage (-) $

Other Fees $

TOTAL $,\RE THERE ENOUGH LOCATORS?

Yes ( ) No( )

DOCUMENTS RECEIVED VIA - TIMELY FILEy?Over-the-Counter ( 1 ,Mail &/~ Yes C Vy No ( )

LEGAL DESCRIPTION - Iq 10 1 BI) w s c /1, BT R SECT R SECT R SEC

BLM ( ) FOREST SERVICE ( ) SUBJ TO PL 359: Yes ( 1 No ( 1

WILDERNESS AREA: No ( ) Yes ( )

SPLIT ESTATE - N/A C } SX ( 1 PX C } SRHA ( 1 OTHER ( )Proper Notice Filed if Located on SHRA Lands? N/A ( 1 Yes I } No ( 1

RECONVEYED MINERALS ON BLM LANDS REQUIRE OPENING ORDERS FROM 1944 TO 1993 -0

Open to Entry on: N/A ( )

COMMENTS/STATUS - VOID ( } PARTIALLY VOID ( } PVT MINERALS ( } WITHDRAWN LANDS (

OTHER( 1 -

112 6

Claimant acknowledges that portions of the following claims(s) site(s) may be void or voidable.

Printed Name of Claimant Signature of Claimant

************************** FINAL ADJUDICATION **************************

DATE -_ 517~60(1 ~NITIALS 4






DESCRIPTION IREMARKSII lITOTALI~j PRICE ~ I

1 1| 1.001|NOT NEW-UNADJUD,ONE AUTH NO. ONLY / |-F-7-7IAMEND - 311 - n/a - 11 30.00©ASES: AMC411296/$30.00lIMINING CLAIM MONEY RECEIVED 1--11--11-1

ELELLILLE TOTAL:S36.00

PAYMENT INFORMATION1 1--AMOUFT..~POSTMARKED. IN/A

-TYPE: CASH-RECEIVED: 02/15/261-7NAME: NELSON, DONALD L

9049 W OATMAN RDGOLDEN VALLEY AZ 86413-7648 US

REMARKS


rl-\~is e,ec-4\ Cu«s ULSLS) f o

prnoz % J G-ID A~ *SiT ~1 v-

My\K« 4 i \ 19 6 k IX,ry\'C_. AL c < 1(1 % 2

A mo 4 \ \ 19 9 k'RE 4 -4 -ll

*CQ:~*J-g A f .. 0cd-U_cks~) en, *'r <*1 o e·~lpiLLA

locali.61..,> .whC62-5

County Recordatio .nformation: 1111 *,+al#~1.hli'@'liavi:MTWII IllSv N k Icl MELSau FEE# 20170073009 D 41 0A~-4 * D H 4y OFFICIAL RECORDS

Golde 0 \18 ))41 Rt KRISTI BLAIR , ~~~M|LCOUNTY RECORDER *A----lf,i1264/3 ./2/5/02/14/2017 03:36 PM Fee: $10.00PAGE: 1 of 2

NOTICE OF MINING CLAIM LOCATION

1. TYPE OF NOTICE: U Location M Amendment U Relocation A Mc 4// 2962. TYPE OF CLAIM OR SITE: U Placer ~¢ Lode U Millsite U Tunnelsite 23

1-11 . 473r--7

3. The name, address and telephone number of the name(s) to be considered owner(s):ii 1 6, 1PLEASE PRINT (show additional owners on attached sheeO --

Oil FEBIb P :

9

Name: a U 4 E . soM ·1-1Address: 0 '1 --City/State/Zip Code : 4 . 2 , :Telephoi . e Number ( incl :,de °rea code): 2-51,9 - 112£. 5 -

4. The name of the claim: (111-ike_Ag_Ak5. The date of location is : 7 - 15 - 10 , 16. The claim is __15.02 feet long and __6_80 feet wide. The distance from the location

f*\6 9// 111 6

monument to each end of the claim is -7 5 6 feet in a -fo Ad-A direction and7 . 50 feet in a NO FY-h - direction.

7. The _1-9=£]~---- corner of the claim is -ILL_£.Scitz-dilL__Illz~.re.1_£11614 , 1from a survey monument or permanent natural object described as C C-2 .D W . or 4 9-

8. The general course of the claim is from the _.8M.E_]?~_~r- to the $- C k'YA o e

9. The location of the claim is in Section(s) __~_ 04-_u Quarter section(s) 12_2_ _ _62-Ser* 7 8 rJ /8. Township(s) j 7 N Range(s) _ 1 _6( UJ -_ . Gila and SaltRiver Meridian. __ 14( A A 1/ '€. County, State of Arizona

10. Is the claim filed under Public Law 359? /J yes 94 no fNTERERr / 1'tl -

11 . Monument types are 00 ~~~ il DR /, .- . ;

71.-11·i-0017Date _ / Signature -EEZEEL*1_-_U~1£

~MAP OF MINING CLAIM LOC_ON ./

1. The name of the claim is F- e ~t '

2. The corner of the claim is feet in a direction to a surveymonument or permanent object as described as - -

3. The type of location monument is-

4. The bearing and distance between the corners of the claim are beginning at thecorner of the claim, feet in a __ _- direction to the _ _ -corner, then feet in a direction to the comer,then feet in a direction to the corner, then

feet in a direction to the point of beginning.

5. Please indicate the distance and bearings between claim corners and a recognized survey monument orlandmark. Indicate the distance from the location monument to each end of the claim.

One Inch = One Thousand Feet One Mile

NORTH

41/Ache-y

*

Tke- SA Mt-

elwy e

uo

PHOEN{X

640 Acres

m r

n-0 -n

3

Section . Quarter Section - _- _. Range --Township . G&SR Meridian, _ ___ ______County, Arizona.

Date Signature -

1 «/ 15 '1 - 2 <6'.' <, 95(/1 Z pr x /_-» ' ,

1 , 1 , 17 / 1 Y 7 611 ,

3 f./ S.,1% 1 1.r I I.J.. I

-7,J, b Mill-#15 ' ,,,-f / 1n .- 17 1 Cuesta Fire Agate Mines , , th . I. 3 374 , -

, « Mining Claims to be Affected: *4

4>. »f £,1. * 1.)AMC411297 -Far West Fire Agate :-#,' y1 ( t C

2 .) AMC411296 - West Agate 1 -- t

3.) AMC411298 - Fire Agate ...,--I '«6 ....,'

43 3 . »--Th --4 6 . 1 ' 1

9 1 rt-State~ i j) /1

ff*~*SS»«~ 4.) AMC411299 East Fire Agate8 -»r -7/21 '~As 1

& 32*e._3 --49, 655 ~ i Adlan Sp·,·-x.

~" , ,-113&~.)net.toy---0%13356 ,-1 »««4) ' 66- '' F/' r.

t. 141~3~i~~-- --4 j1 , 3 1\ 6 , 1valley_,-- \--

1\.

/ 6 » .44 , r JI- 2940

Shaffer xi. 216 )3 ll , Well .1 L..h

\

1 / , Cotknjwrod ,-WFI 4- .. »--_ ',r/ -.*..--%14 292:/(1-r: - Twin 2 i . \ti« . J 5 , - 44._--nz_K----,w- Springs~ I

LD=-2,4 .-~-------Eds Can~S)

tle » ~ ~r: 1 7 .

71 E 01 / 1 /, '1~.XE M »2793

74 3<-0491 23), fi#=1-3.2 , /8,---- 66-,Ka-<4 , .f«< i~-44 4 -=-"-- - e<48

./1 2- - -if-,%,r ,

V

:- 0

--

E..*.

rn-» ! i - 0/

2 3 :27.' Saring ' -« . ri,

7 - 3/\J- ih JI e». 3 4 .\ f'2 -- \ 1

, -'/-.I-.

2, 1 1»SE~ / -2- rj' 1 + 3267:3 < jj&42 -, 14 /3/-3 ---?500--ir--\»,11 14 - '..= FC

/r-7-7 -3 '

1 79)830 9 V-AA .A < Cr 17134 ...\ 2,0 1 j · 12~j,6 f j\.»-S , ~ ..--X--------~-------/ -. ..1«/~] « /1 1/-' 1- 1466%7,h»-f (Dqi'. A.' .37

5 <,1.---. 3 - 9 1

~ Spy· i'}ig

ru

fil»»r.2- :* W ' / .---4 . --3 j , ~

- . ' ~0-'3457 < 5 < - ~/ /..--.4 , -13 624 31-p4- <. 4 ./ 1 , 1

\ 2 i.1

I ,

1 1 ./4

.r ~.f) r j , _ Wa /keTSp,·ingr -i

l ./ 7 ,

6/9/

15 „M , f. ' 1 '» -1 4 -0..\ 30-'f '04--/3 , 1 1-

1. 1 c l

/ 'L 1 .

741 $. A 320 000 FEET Rt ) . 7 743 20 ' 744

UJ

When recorded, mail to: 111111RI~*1.ltlhtlimw %,Erill11Name : Do N A Id AJE Lso,) FEE# 2011047946Address: 9049 GAtmAN Hey OFFICIAL RECORDS

OF MOHAVE COUNTY #Flif/,2 Mo *lie, /612. CAROL MEIER /5,/2713COUNTY RECORDER S ~ e t,V, ~'~4;igtCity/State/Zip Code : 2 64 /3 09/ 15/2011 02 : 53 PM Fee : $ 14 .

PAGE: 1 of 2

Space above this line for Recorder's use

NOTICE OF MINING CLAIM-n

.. i1. TYPE OF NOTICE: D Location El Amendment 46 Relocation : iC.7 1·12. TYPE OF CLAIM: C Placer * Lode 0 Millsite Il Tunnelsite 3 .4-

1.1 -j-3 ' ~ 1 rM3. The name and address of the Locator is +1 't]Name : ONA WEL 6 N -Address : 90 9 A MA i VJ -City/State/Zip Code: o ed L le, 2- 64/3

4. The name of the claim js 25 F/ke Te5 . The date of the location is - 15 - '10 //6. Ine claim is 1 SOO feer long and __6-£28______~ feet wide. The distance from thelocation monument to each end of the claim is -7 -00 . feet in a _. 3-0 £4 7*

direction and _1.50 _ feet in a NOK-7~k direction.7. The general course of the claim is from the NOP#* to the - .90 BJ'7~X8. The location of the claim is in Section __f, Tolos(8

Range 0 LOBase and Meridian,_SkAZ__F_e.,-c.Q____________ Mining District, -~ljlA_*lz_e--_____ county,

AMC4State of -LA___-9. If amending or relocating, the previous claim name wa~-5-A /,19 Jes A 14- recorded in Docket(Book)__L-E=*__~ pagefs) - 1-9 , ro_53610 FF A /0 0 5.< 00 Mining District, ___~ U €. County, .0State of 19 uiiD /0 A -

10. The I cation of the claim with reference to a natural object or permanent monument is ~

e red /ON

Dated:nature

0ddr

6 -3City/State/Zip© 1994, ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (1SBN 1-57164-046-0) FORM Illa Page 1All Rights Reserved.

MAP OF MINING CLAIM LOCATIONe1. The narpe of the.clai~n is ,

2. The _#d_Krar___14/~LST___--- corner of the claim is __Q_____ feet-ina _-_A~ directionto a su'Dey monum~lfr erm e~nt natur~' ob~ct de~cribed ~s ·~1(- o N 'DA, b- 1,7 '

3. The type of location monument is 00

The type of corner end monuments are ' 00 k ' e w Pvc4. The bearing and distance between the corners of the claim #re beginning at the

corner of the claim, __6_/2____ feet in a __41£SZ_______ dir6ction tothert I. -

corner, then__t-__L feet in a __11OW-vt-_____-- direction to the 3 _/-corner, then 5 5___--

·· _Mok.corner, then / 500 feet in a ' direction to the point of beginning.

MAP -..., I

One inch = One thousand feet North Arrow, - ...~>h

ONE MILE

CD

ONE

MIL

E 640 ACRES6

A I (Aj Al W 4 Jaul./ D 10_ __Ld_____1 Township -Section /v , , a Range--___Gl-65_-L_1£11_R-ULZh_______________________ Base and Meridian.

·11 - i <.- 4 -1 iSignature

© 1994, ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM 11lb Page 2

When recorded, mail to: - 1111111* Ply,1*14#letiljit#kIANBY;11 ~11Name: _~2-M.A_id_lL.s.od FEE# 2011047947Address: -q€_f(L_-eda«_EY-1 OFFICIAL RECORDS -ta#$.

OF MOHAVE COUNTY /*50054CAROL MEIER, 1- I /'-* 151COUNTY RECORDER 17T77.97

City/State/Zip Code: ~ 6 413 09/ 15/2011 02 : 53 PM Fee : $ 14 . 00

PAGE: 1 of 2

Space above this line for Recordefs use,

NOTICE OF MINING CLAIM07

1. TYPE OF NOTICE: 0 Location 0 Amendment ® Relocation · ' --2. TYPE OF CLAIM: El Placer gl Lode 0 Millsite Il Tunnelsite 2 r a l-3

U

3. The name and address of the Locator is .Name: EL SOW r.1 ,-3

Address: 0 & A UJ 'City/State/Zip Code.' 0 ~ M A 1 2 Z . 6 13

4. The name of the claim is 6- 2 5-t A e5. The date of the location is _=Sp_El-/5_2_0//6. The claim is /-<00 feet long and 400' _ _ feet wide. The distance from the

location monument to each end of the claim is __/ Ll60 _ - feet ina _5-2 £4*direction and ___t00' feet in a u~ direction.

7. The general course of the claim is from the NO h YA . to the __52*272/8. The location of the claim is in Section _43_N 15 ,(9 __~_ , Township

Range _EL_I£*__*tlf~~Lil66 ( A il S A t-j- Ri V 'er ' Base and Meridian , ~_SAA Fr ANCLS CD Mining District , --ale-A__1Lil_£~_____ County ,

9. If amending or relocating, the previous claim name was sAreF&--C,De£<4- Fike

AMC

I!11291SP_4112 _ recorded in Docket(Book)_1*-15L__--__=Z. page(s) _--udl-----_--,C~,1 U,- ' .1 a 'f v 02.-1LIV Mining District, We County,State of -RE..2.E)-10. The location of the claim with reference to a natural object or permanent monument is ~ /, ,- t) C \/ ~

_3__fz _fk_ti__Q_*___-C__0_tAJ_tt__1**_Eek--

Datedi 9 153111__fl~f~M*r\- H t~31-QAY=-- \~Ad& -

c#1statezp - 3© 1994, ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM Illa PagelAll Rights Reserved.

,MAP OF INING CLAIM LOCATION

1. The name of the.claim is e-t e ,

2. The __*LE_______ corner of the claim is _0____~ feet in a _Al-~ direction

to a survey monument or permanentnatural object described as 2 2 D

N f r e ECX 1 '6 we / It - 1,

3. The type of location monument is XV pOST

The type of corner end monuments are ~7 bO C P . B ,

4. The bearing and distance between the corners of the claill) are beginning at the -corner of the claim, 4 ~ O feet in a -_. 60 2 5.f· -- direction to-the N ~___11corner, then /50 0 - r feet in a -1-£0- G*YA direction to the S LUcomer, then ___6_0_2_--____feetina. _f A r·lL -' - - _directiontothe S Fcorner, then / 510_0 ____ featirl a -__NO T 77L____ill direction to the point of beginning.

MAP -One inch = One thousand feet North Arrow. - C -~:.. 1

.

ONE MILE »~-,

u., 5,2-,

0

600

pa ~

ONE

MIL

E

0334/ m

section / E f 5 Range ~0 IA)_ Township-,1 - 2- r- Base and Meridian .

Dated: ___--___~ Signature

© 1994, ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM 11lb Page 2

rl. ,

~Z~3~5~~1¤~~~ 111~10~5111~It88;fl~KN11111Do NA Cd 0€ Lfow FEE# 20170073019 6 4 1 6At#\ A 9 +1 u > 9 OFFICIAL RECORDS ~465**$XGo 1JetS gR \ Le-1 } B -2.t KRISTI BLAIR ,

OF MOHAVE COUNTY 1/65* 1,COUNTY RECORDER *=54/% 6. L/ 13> 02/14/2017 03 : 36 PM Fee : $ 10 . 00PAGE: 1 of 2


1. TYPE OF NOTICE: /_/ Location ~1 Amendment /j Relocation AMc l.111 49 0

2. TYPE OF CLAIM OR SITE: U Placer M Lode U Millsite U Tunnelsite

3. The name, address and telephone number of the name(s) to be considered owner(s) is:PLEASE PRINT (show additional owners on attached sheeO

Name: s w i 16 14 EE L sowAddress: .0 CCity/State/Zip Code: 6 e el 6~ ~' 'Telephoi .e Number ( inch, de o.rea code): - ... i -

--

4. The name of the claim: IF fl 6 2- In 1

f1 7~5. The date of location is: 9 -/5- 10 1/ ><

6. The claim is /506 feet long and 6 6 0 feet wide. 71,e disiince On the idcation---monument to each end of the claim is 7 50 feet in a FC /*1 directibil and-

«\GH

\\198

7 50 _ feet in a So 04'L . _ direction. 2 -

7. The 822-1/ blesfcomer oftheclaimis 600 fee-t d lk- ecY EAs-fof FLCY, DIJ6 Me. ct 0 -

from a surv monument or permanent natural object described as r c . 0 1 1 6F

8. The general course of the claim is from the .2-G--t_E- to the _SdiL-~AL_ =-I9. The location of the claim is in Section(s) -- Quarter Section(s)_ #/ wZ-«a£td__, Township(s) -l13 Range(s) _U,-12-0 Gila and Salt

River Meridian, /10 4 4 6 t.-_- County, State of Arizona

10. Is the claim filed under Public Law 359? U yes /~ no pNTERE«11. Monument types are )6 (- R

~- I A'

Date / / A ent Onl1zltz-ZEL Signature _~~~~&E_.Z~em__5_ZZ__x_

WMAP OF MINING CLAIM LOCMION

1. The name of the claim is it- GA+i

2. The corner of the claim is feet in a direction to a surveymonument or permanent object as described as-

3. The type of location monument is--

4. The bearing and distance between the corners of the claim are beginning at the - __corner of the claim, feet in a - direction to the _ _ -comer, then feet in a _- direction to the _ comer.then feet in a direction to the _ _ comer, then

feet in a __ direction to the point of beginning.


One Inch =One Thousand Feet One Mile

NORTH

Yee A # A C A €- A

CO3 28 ~CP r„.

The 5„4€- FJ m zinf-).CD

--. J 1-710-

ellzl

euo CD 19 0,

*O ~.;

Section __ . Quarter Section _____~~~-__----. Range-Township _ . 6&SR Meridian, ---Counu, Arizona.

Date Signature -_-

~"il -5--««~ - - - r-~-----t - ~)~~pO_»15 -L/_l»-1-- .1&03~1~~~ /~ D'LOU«~7»// 37

Ih,· n ~4 -3 1 Cuesta Fire Agate Mines: . I r .» (73 -- 8 4 / 3564 +

VT 774 45 Mining Claims to be Affected:1 .) AMC411297 - Far West Fire Agate bj i v - f h / 1 9 z c2.) AMC411296 - West Agate h--t» /} h3.) AMC411298 - Fire Agate

3**ecr&!nt,_-«*.,a,71 2 4.) AMC411299 East Fire Agate5+9504

3200 -·~f --44*Pass >4 -It indzan Spi·~ :.

' ~2ET-~<t.~ ~~ - ~e~ ~'~~deo .-.Valleyj.~-1 w5 K 9 Lart#g

f44 ~1 '0' ~4 1 r -7 -*Il.-9-

-/th »*-41 < i.~'' &/14 cd)~ 4 . 4.- '4$4:1 ' /3 332/s \\EL/Ne- -f . 1 ' -3>__ 1.:»„» -a3:_27+ _uf__17-_*- A-.--i- - 11.~- - 2940' it_

,

1 -- . / (' 3059 ;

'- . «.1..\4 *cattgpiagod r It :i' ' ''

, 162 · -~Ct=·,~y;--41- TwinY\\I·· *.-1 4 C/-\ *,r> ----4-3Pringal., A I

3178 4 , . ~290j /6 \ Ir- r 1

4*cy % I</3 ) 1

r ' <

M- 14-3Zrpj ~ -V-~ £57

7

4 )*7/ < i <r \.4277 ¢

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4&4. - 5 4 F ; ci --.r- -1

-ni N \Fl '. \

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29 2.„6 '' 1fr ..£ B -»fl F ~»- ~4 (C, 1.11#<3 -,-

14~440 - -1 ~f.,2

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f .37495.\~. .4-------4~ ~,0~7-RAIL .1 ~- -' *6'2:'00/..3 Spri,ig

(,c-' :h i i/r4,»f~A ~----- i L.ZC, U ---)L~<. 74 -ACK , ~ r-/-7 ,C 1 2 L/- -

39286-~ -2-~ 1< -1

1 --6/ : -I1< / (~ 9470 + 7 -- f-«111\ \ ) /07 Y ,- -.1.5 :-_ Walker= . Sjoingr-7 /

z·9 ---»al ff A ; , 7-

I - -{ ..

) 0

741 ..2,) N 320 006 FEET R 19 7 143 20' 744

U,

1.1111 Ee litil*,15#'~wk#;MAE'11111When recorded, mail to:

Name: LAJE_LFE- FEE# 2011047948OFFICIAL RECORDS zatE#&.1

Address : 9- 0_49 _Q-C-Mlij Ab)7 OF MOHAVE COUNTY '11102.79CAROL MEIER, (=. 2*-44 101 e 6 l g, COUNTY RECORDER *~_04/City/State/Zip Code: - 84 4/3-- 09 / 15/2011 02 : 53 PM Fee : $ 14 . 00

PAGE: 1 of 2

Space above this line for Recorders use

NOTICE OF MINING CLAIM

1. TYPE OF NOTICE: Il Location D Amendment 0 Relocation -t2. TYPE OF CLAIM: O Placer M Lode El Millsite 0 Tunnelsite c.n .'3. The name and address of the Locator i&

Name : ESo A)Address : 9 0 MA 6,1 - tCity/State/Zip Code: oN / 4 Z

4. The name of the claim is 1-65 . The date of the location is - 15 - loit6. The claim is __LS// feet long and ____6_00 feet wide. The distance from thelocation monument to each end of the claim is -27-50 _- feet in a A)'01.- //ldirection and 7.50 _ - feet in a ___»L2£4_29*____-_~ direction.7. The general course of the claim is from the - A // k- /LA to the 50 Lt 77£8. The location of the claim is in Section -_N_-tilJ5~~f-/91',Township / 9 d

AMCI

298

Range - )2)

Base and Meridian,FA 0 el 6 Mining District , MOV County ,State of r - A fe*9. If amending or relocating, the previous claim name wa YA /4 Q

recorded in Docket(Book) page(s) Li-Mining District, MU) k__s_ lie county,State of _hj--15:3 -Z ANA

10. The location of the claim with reference to a natural object or ermanent monument is00 fD Al /8

Dated : 45 - 1011ignature

0)D

-69/3City/Stat ip

0 1994, ALPHA PUBLICATIONS oF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM Illa Page 1All Rights Reserved.

8 %MAP OF MINING CLAIM LOCATION

1. The name of the.claim is (kt AY-e ,2. The __Al_'AL_______ corner of the claim is __XQU~feet ina direc ion

to a survey monument or permanent natural object described as e * 2 Ke- P- orS ecr I OF 1 13 1

-

3. The type of location monument is OC li

The type of corner end monuments are le- U) P UC4. The bearjng and distance between the corners of the claim are beginning at the

corner of the claim, 6 OR____ feet t!-a --.4,e direction to-thecorner, then 50:1 feet in a z._032*E._. direction to the 5 - *1-corner, then __6_£Zf___ feet in a E A ~T ___- direction to the f E

..

corner, then __LSY-LL__ feat irl a ·~~P-~- direction to the point of beginning.

MAPOne inch = One thousand feet North Arrow - 'I:.

ONE MILE

..'..

0

660'

210

ON

E M

ILE

3>0ZOm

section iALIA ki S~ /6_Ra„ge__r_20_ w Township _~ ? A/ ,Base and Meridian.

Dated: Signature

0 1994, ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM 11lb Page 2

4 .9 - =untyRecordation~formation:-- 11101~'EE'lillk'1111#FAL,Ull 111D 6 k) 8 )4 10 E 1, 50 9 FEE# 20170073029 D Ll9 0*-t A A 1\) tl wf . OFFICIAL RECORDS

OF MOHAVE COUNTY ~abi*.--1,1KRISTI BLAIR Ull4

601 & e 0 VA Heg Sz COUNTY RECOR6ER02/14/2017 03:36 PM Fee: $10.00

f 6 //3 · PAGE: 1 of 2


1. TYPE OF NOTICE: /_/ Location ~f Amendment U Relocation AM c 4/1 1 992. TYPE OF CLAIM OR SITE: U Placer ~ Lode U Millsite U Tunnelsite

-

3. The name, address and telephone number of the name(s) to be considered owner(«is: - 1-PLEASE PRINT (show additional owners on attached sheeO :.2 7 :.Name: o NA /J U E L scAI , .: In

.... .'DAddress: 0 G b -> . 7--City/State/Zip Code: E J 6 41 2 , 1Telephoi.e Number (inci:,de -rea code): 92% 5-65 - 42 46< - - ACD ..'. J

4. The name of the claim: s-t I- e RE Ati5. The date of location is : 9 - ' 5- 0-6 il6. The claim is f 5-2 0 feet long and 6 (90 _ feet wide. The distance from the locationmonument to each end of the claim is '7 <0 feet in a /06 4-1 A direction and

*6 1-l (l D,A cl

7 50 _ __ feet in a _ 5-0 Lll-k __- direction.

7. The vule 5-1~ corner of the claim is 9 5 ,2 C+IP R) f il-' r V *i c.1 AC C': 3.

from a survey monument or permanent natural object described as ' r ' 0 0 .-

8. The general course of the claim is from the 12_EN. _ ____ to the Le_Lt*r_ _ _ __-79. The location of the claim is in Section(s) __~_v___- Quarter Section(s) OT

SC.£Ili-!2_12. Township(s) :-0 Range(s) ~ Gila and SaltRiver Meridian, ' County, State of Arizona

Y E i~E E ~10. Is the claim filed under Public Law 359? U yes LE no4 IN) - /, p -'7 1 1

11. Monument types are Roe,fl 11 A; 1., -7 dvi, 4 1

0- 1 4 - 51. 0 17 Ch 071*42 X. 1 6*-~ W LocatorDate - Signature _//Agent0nl

eMAP OF MINING CLAIM LOC_-ON

1. The name of the claim is ~ €_A_~_5__________-_-__-~ 1

2. The corner of the claim is ___ feet in a _ direction to a surveymonument or permanent object as described as _ -

3. The type of location monument is- _-

4. The bearing and distance between the corners of the claim are beginning at the __ _-corner of the claim, feet in a ____-- direction to thecorner, then feet in a direction to the - comer,then feet in a direction to the _ __ comer, then

feet in a direction to the point of beginning.


One Inch =One Thousand Feet One Mile

S€e KtAT h ed NORTH

ZS0 .

r·17 .;

crPO -0

n

eliw

euo Ac

s

Section_ . Quarter Section _ _ __ ___. Range --Township . 6&SR Meridian, _ -County, Arizona.

Date Signature-

-,4-f -1-=-11-»- A11, 7.3 ., 4 1 _14-44--- ·T -1 , 4-7 ~-* < )«~r-~ ~' ]~4-x. ~-ft <~~-~--9,1 ~---~ ----y-y-~-Mining Claims to be Affected:

„~,s.*44*L -- - r L-

).1 1 11*/11 f 1\ C.F\A/\ J17.1 Cuesta Fire Agate Mines 1 3564

1.) AMC411297 - Far West Fire Agate #, 51'2.) AMC411296 - West Agate A <'4.) AMC411299 East Fire Agate3.)AMC411298-Fire Agate

I

I

i

''

i/<: =Sfeet'to 3200 4 3.44\-/ C , U 1 ' f,1 C\\ I--9'.- 2940

EUN<- -O/ -# »«r-9-7«- \- '141'~ft[- -,\41 \

\\

Twtn ,\<

, 3178 24*3»ids Cimpi

~ ~~~1 ~ 040--4 < C :. 9 5 { -/- 5~ ~~ We|| -0

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f-1 1 - 80 -k

~ 1

W D

5233Ulr 1.-- 1 \

93830

Sprilig3.,410--,

r 'r:I:---....~ 6 \\_3457

r2-4.2/ f ~«3 2, L_X> 2/j--:)31< {8,1

<3

,

.-I

* 4 (C 7-

-'

-- --L--1 :' - j - l , 1,8 741 H 20 N 320006 FEET R 14 4 ;43 20'

- Si

A & 1111 ke 9~.j *.. ..*.,14«,viwl,Ill 11 1Name: 4 0

Address: fo _QitAAR Hw\1 FEE# 201104794960 ' OFFICIAL RECORDS- OF MOHAVE COUNTY

CAROL MEIER, '4JAferl-*949City/State/Zip Code: COUNTY RECORDER

09/15/2011 02:53 PM Fee: $14.PAGE: 1 of 2

. .~.-w„5....1 I. Ua='

NOTICE OF MINING CLAIM1. TYPE OF NOTICE: D Location 0 Amendment' * Relocation ..

-I'.- J.2. TYPE OF CLAIM: O Placer (9 Lode O Millsite O Tunnelsite 1.Ul -3. The name and address of the Locator is

'm *1Name: 6W 'A I E 50 9 ---Address:City/State/Zip Code: Z-

4. The name of the claim is AS 7 6-15- 115. The date of the location is

6. The claim is __5261¢1____ feet long and ___600 feet wide. The distance from thelocation monument to each end of the claim is 7 -56-- feet in a N 0 :C--7-4direction and ___75-2 - feet in a __Izi,71, directjon.7. The general course of the claim is from the A/0 A- -ZfL__~ to the -__*C-k8. The location of the claim is in Section ___ZB______--_. TownshipRange ,-- v €- M Base and Meridian ,__<LdL-Et-A_61_1-(SC-----~ Mining District, ___*fULA_Aw- Co un*State of Ht ' log R , C A bm, ~ 12 A ff- Fi9. If amending or relocating, the previous claim name wa14-,4-52__u______-__E_ri,~-3!16*- recorded in Docket(Book)_ZZ--Sf____-____ page(s) _lz--_____2=F-,NE,scv Mining District, _ ___-l!1_(2.-4_tL-Il--2-_ Col=,State of fR i- 1 2- 0 N R

10 . The locatio of the claim with reference to a natural object or permanent mo ument is 69Ale.*C / 5 4 0 qe: 0

1 -DA 6

CY- ODated:Signature5049 0 AtA

7_ < 6 9/3City/S p01994. ALPHA PUBLICATIONS OF AMERICA. INC. (UPC 722573-64046} (ISBN 1-57164-046-0) FORM 1118 Page 1All Rights Reserved.

s..r,r ,./r 11111,1,V,11 0.,LAIIVI 1.0./<Lufi I IUI~

1. The name of the.claim is --22. The AL___LLl______~ comer of the claim is __£122__T feet in a E direction

to a survey monument or permanent natural object descri4ed as -SCE-Ll_Eli__-SELL. t-VE-3

3. The type of location monument isThe type of corner end monuments are 0 0 Pe w VO ,

4. The bearing and distance between the corners of the claim are beginning at the

corner of the claim, 4& 00 feet in a 2 7 direction to-the /Ucorner, then bo-Zz- feet in a tu direction to the _-1_ 0-'corner, then 1__14/0 -- -- feetina-_EAS-~_r---_direction to the ___51 ZFcorner, then __· __514?0 _- feet in a-- 8/0 HT direction to the point of beginning.

MAP _ . ---I .*.

One inch = One thousand feet = North Arrow. - < ~- . ~-\-ONE MILE

2

0

ON

E M

ILE

03>0mCO

1#(C).Al

Section iv -1114/ #t __/8- Rai,ge _____+4,1._ ___vz~ Township ___,_:_L____- Base and Meridian.

Dated: - ifi - 0-ollSignature

0 1994. ALPHA PUBLICATIONS OF AMERICA, INC. (UPC 722573-64046) (ISBN 1-57164-046-0) FORM 11lb Page 2

9/ 0'

Do RAid 10< 4 50 0 US

A) FlLAS VEGAS NV 890 7*/BUi-,6/.El./r.5

9 '9 eAt MAN H wy030CT 2011 PM 2 L -

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8 4- M 61/1~'7*~ ghte Off/Ce

4 FO0

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J

F 500 9 - 44 17--4-7-n

i: i ii :1 ii i 1 i i i i i i. Ii.- '. 'Ji-1 i: 11,31,zi,hU···th!!ilfijal?ililillilil1:!fillili/ji,Effuil

%Dowlk id 'OE 4502

LAS VEGAS.NV *90, 3,~*-----4'9 6_; 9 DAY MAN H My

03 CK'T 20 11 PM 2 L66 / de 10 0* Ile_y , Fiz.

= r-----= 3

26413

8 4 - M 04·*'7* 57*e Off/ce

4 e00 'll~A.6 4 j- 1-A C ed -/r A / A ve z

Ph,geot X , All. !C 1 --1

4/4 227 5 -O ,-5,/1g sooq - rn CD

-711, 1 :,El H: His lizi:hi jijil ji, 1, LE j, isi j, ji, 1„ji j j„:1/lis,/MidNEJ ~-

RUN TIME: 07:02 AM RUN DATE: 11/08/2011DEPARTMENT OF INTERIOR Page 1 of 1

BUREAU OF LAND MANAGEMENT

Input Parameters for Geographic Report with Land

System Id = CR

Admin State = AZGeo State = AZ

Casetype Begins With

Case Disp Txt = AUTHORIZED, CANCELLED, EXPIRED, PENDING, REJECTED, RELINQUISHED, WITHDRAWN ~

Mer Twp Rng

Section

Mtrs = 14 019ON 020OW 013, 14 019ON 020OW 018, 14 019ON 020OW 999

Commodity =

Commodity Txt

Pending Org =

Pend Org Decode

Total Rows Returned: 17

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATAFOR PURPOSES NOT INTENDED BY BLM

RUN TIME: 07:02 AM UNITED STATES DEPARTMENT OF INTERIOR RUN DATE: 11/08/2011BUREAU OF LAND MANAGEMENT

Adm State: AZ Page 1 of 4

GEOGRAPHIC REPORT WITH LANDSorted by Meridian Township Range

Serial Number: AZA 002911Total Case Acres: 4.630

Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR W2NWNW,52NWSWNW,N2SWSWNW,

Serial Number: AZA 007788Total Case Acres: 4.490 .

Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend

286001 AUTHORIZED 013 MNR W2NWNW,52NWSWNW,N2SWSWNW,


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend

285003 AUTHORIZED 013 LOTS 1,2,


Casetvpe Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Eend281001 AUTHORIZED 013 ALIQ N2NE;


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR 1 W2NWNW,W2SWNW,N2NWSW; Y

RUN TIME: 07:02 AM UNITED STATES DEPARTMENT OF INTERIOR RUN DATE: 11/08/2011BUREAU OF LAND MANAGEMENT Page 2 of 4

Adm State: AZ GEOGRAPHIC REPORT WITH LANDSorted by Meridian Township Range


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR 1 W2NWNW,W2SWNW,N2NWSW,

Serial Number: AZA 025494Total Case Acres: 112,400.000

Casetype Case Disp 14 019ON 0200W Sect Sur Typ Sur Num Suff Subdivision Act Pend231106 AUTHORIZED 013 FF PART SE;


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend386200 REJECTED 013 MS 4882


Casetvpe Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision- Act Pend286001 AUTHORIZED 013 MNR 1 W2NWNW,52NWSWNW,N2SWSWNW,


Casetype Case Disp 14 019ON 0200W Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR 1 W2NWNW,52NWSWNW,N2SWSWNW;




Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend380913 EXPIRED 018 ALIQ NE;


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend380910 AUTHORIZED 013 ALIQ NENE;


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend362112 AUTHORIZED 018 ALIQ N2NW;


Casetype Case Disp 14 019ON 0200W Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR W2NWNW;

MNR W2SWNW,N2NWSW;


Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act Pend293200 AUTHORIZED 018 ALIQ NWNE,N\N,



Serial Number: AZAR 0029753Total Case Acres: 4.630

Casetype Case Disp 14 019ON 020OW Sect Sur Typ Sur Num Suff Subdivision Act_Pend286005 AUTHORIZED 013 MNR 1 V\/2NWNW,52NWSWNW,N2SWNWNW;

Serial Number: AZAR 0031673Total Case Acres: 7.860

Casetype Case Disp 14 019ON 0200W Sect Sur Typ Sur Num Suff Subdivision Act Pend286001 AUTHORIZED 013 MNR 1 W2NWNW,52NWSWNW,N2SWSWNW;

TOWNSHIP 19 NORTH RANGE 20 WEST OF THE GILA AND SALT RIVER MERIDIAN, ARIZONAMS 2246 B

MOHAVE COUNTY SOO STATUS OF PUBLIC DOMAIN45976 LAND AND MINERAL TITLES213 / 2 .C

4 .95' .. 4 425213 4054 12 215 1 4" '436513 412 2 41 55 i : 41 C.

_ 1 1 -,26 91 6 SEE SUPPLEMENTAL PLAT SUPPLEMENTAL PLAT SEE SUPPLEMENTAL PLAT5 39787- NO 3 NC 2 NO 2 A .2.48

.22.48

De. Rm. AH *7 4096 :014.

E- HS 334,5 4 .-,z 2- 1 LEZE_EGREGATED_TRACTS10 39.96 14-~„ft

844 PH* 079223 '.. 25..2 .i*....-21.../...

08 Rec~ I [EE [ I. 1 T | R | SEC I SUBD, . 9 -

4 2737 ID Recon Et==1114015 12 3959 24026513 3513 ./. iD««rk R«'00 1 PH* 08?523Ati In ID Reion

14029 2 3273 1 4317 M-ML 'EF78 7.12.99SEE SUPPLEMENTAL PLAT SEE SUPPLEB.'ENTAL PiT SEE SUP=.EMENTAL PLAT SEE SUPPLEMENTAL PLAT ~-~~~8/ ~f-~ 25'

1-2 /4 NO 3 NC 2 NO 2 50. . .,42 623662N01 A J/915 4 34 : 415 38 0

3 10 ...AZA 23834 967 29 :

340.5, 7 8 9 10AZA 29384 . ..18 77/8 p· - AFFECT' G ISPOSk OR USE OF1 5%-A U. DENT?F,ED LANDS #THIFIE FOR CLASSfICALON.4 406~

Ae 013I673

AZA 2911 -AR 029753 ElfEEKS,2EEZAIR_Z/ZPIKIPIR/ISES.

~r /797-5~See Remnrk. 2.

A 2/21 - I - :. f1 4:74 15 1699 . /· , 4-* IIt 3:.2

40084 0 . MS 24 / A

GRA//6 0 ST ·40 2D/C 47356

SEE SJPPLEVENTAL PLAT SEE SUPPLEMENTAL PLAl SEE SUPPLEMENTAL PLAT /:iss-12 4088 NO 4 NO 4 NO 5 /3 479 .E2375 2/ e ./

2346~ ... lal18 17 13 <Ms 2749 163 41.00 ~ 3913 482 SEAZA 22US3637 22~m

R/.

4 ./-3 AZI 22110, IZA 238'4. AZA 16534. AZA 16534-A.

4 3859 ' 5 34 DJ-2 2961~7 36 . 84 AZA Al. bl 031673. AR 029753. IZA 7788.AZA 29384: Arnended 16 ~clude Access Red

40'/ 4800Sec 12 : */2 Sm/4 Sm/4. SE 1/4 SW7/4 50/4

14124 1 wS 1680 : MS : 426 MS 3845 Sec 13 : /1 /2 M/4 M/4. Wl/2 5%/4 NWl /43 3606 16167 9249 99983547355 Nt/2 P:Il/'4 5/1/4

2 . I ./ D/C22 72 Sec :4 . SE?/4 'i'6141,75 .:5 8 SEE SU,1/IENTAL FLAT SEE SUPPLEMENTAL PLAT SEE SUPPLEMENTAL PLAT

NC 4 NO 6 NO 52 41 31 408864 p/ S[E SUPPLEMENTAL PLAT

29/

20- ds 3302 ~ 21 22 23 243 4139

4 /79

3857~2837

1450 . 1639 -

I SEE SUPPLEMENTAL PLAT SEE SUPPLEMENTAL PLAT SEE SUPPLEMENTAL PLAT2 41.50 NO 8 NO 7 NO 7

27 26 25 0

4 4150 AR OS£.»/

14153 8 /,m 46---- w W=' 4 "5 35421

A /66/4 //'45 33,31?/I 2/ \A 2,021 14603

58

34 35 36- lilli

D/C

4 4173 1 MS '48

5.1 3.65

Pm 081523 MS 3848 PH' 075476 PHX 077]75

832401 ' Lor : 114 -20 ' 10 'W

005 RecOr 0 Recon 3/-59 ' 02-N

./.93/59/ -EKET -TOGSI/C.ARNI£....041S~ * -, chcins ElluE-~-----1 ~ «HThi, *t i, th, .fcc~ , Recurd gf T~~ c. end pWe u'

. -" „ , ....f, ...f" . „ "-„, -,-, '." .K-

•ff,¢~Id .' 1.lili I.-....If fill....hi '...,1....

TOWNSHIP 19 NORTH RANGE 19 WEST OF THE GILA AND SALT RIVER MERIDIAN, ARIZONAMOHAVE COUNTY STATUS OF PUBLIC DOMAIN

1¢»NQI,~N Fral OFnCE LAND AND MINERAL TITLES715.58

1 37.AR 03'480 .409 MTP

25 . SUPPL SEC 18'j50' ~ INDEX TO SEGREGATED TRACTS ~

8 063 ..... |...._....02-93-CO. |.ACTIO | T | R | SEC -6~'.95 m

1 L011699 8 (.SY

18

r·OR ORDERS AFFECTiNG DISPOSAL OR USE Of

uNIDENIFiED LANDS *THDillt, FOR CLASS'FICATO:2,NERALS. WAle> ANDfO? 01HER *JUS.!C PUIPOSES,REf ER m INDE/ OF MISCELLANEOUS DOCUMENTS

Grozing Dist NG 2

AZA 27760 R/l Power Tionsm,ss« Line SSec la tots 7. 8

AZA 27909 R/W Access Roos 10SEc Ja Ws 7

AZA 27924 R/W Telephone Lne /Sec :8 lots 7 8

460 e It

26 -)9«-52/6

H8r430---Ill./.-*-4--.I--

54.1560 388108 -I=35416

N02

GSR MerI.,1.. STATE11[IT

SCALE in chains *#. '.. „-„~~, „=., B- =, .=, , '. ~- F~*«»~~] T 19 N..'.............'....... I... I -

|R 199cHected -fe~ mc.erMent, of im . oth. *et mi.

11111'll l„Ill'lll Ill'llillil Il illi - Bureau of Land Management

Documents

Transcript of 11111'll l„Ill'lll Ill'llillil Il illi - Bureau of Land Management